Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.42 / $5,360.00 / $9,539.00	Facility		$723.42	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.99 / $695.91 / $859.59	Professional		$596.99	$695.91	$859.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.14 / $721.94 / $1,025.94	Professional		$573.14	$721.94	$1,025.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $655.88 / $665.27 / $1,337.19	Professional		$655.88	$665.27	$1,337.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.00 / $988.00 / $1,568.92	Facility		$605.00	$988.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.65 / $793.96 / $1,322.52	Professional		$557.65	$793.96	$1,322.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.80 / $703.61 / $1,070.51	Professional		$579.80	$703.61	$1,070.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $634.83 / $805.99 / $1,253.75	Facility		$634.83	$805.99	$1,253.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $888.00 / $1,433.78	Professional		$783.00	$888.00	$1,433.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $623.86 / $792.24 / $1,425.98	Facility		$623.86	$792.24	$1,425.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $623.86 / $792.24 / $1,425.98	Professional		$623.86	$792.24	$1,425.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.98 / $753.72 / $1,178.88	Professional		$497.98	$753.72	$1,178.88