Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.59 / $3,645.00 / $8,294.00	Facility		$916.59	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.12 / $863.17 / $1,072.97	Professional		$711.12	$863.17	$1,072.97
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 $686.07 / $893.96 / $1,251.70	Professional		$686.07	$893.96	$1,251.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $764.04 / $848.93 / $1,655.41	Professional		$764.04	$848.93	$1,655.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $665.67 / $850.77	Facility		$425.00	$665.67	$850.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $940.11 / $1,629.91	Professional		$580.54	$940.11	$1,629.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.10 / $883.35 / $1,281.21	Professional		$715.10	$883.35	$1,281.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $697.84 / $971.59 / $1,459.35	Facility		$697.84	$971.59	$1,459.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $943.16 / $1,094.00 / $1,783.85	Professional		$943.16	$1,094.00	$1,783.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $721.83 / $937.03 / $1,705.85	Facility		$721.83	$937.03	$1,705.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $721.83 / $937.03 / $1,705.85	Professional		$721.83	$937.03	$1,705.85
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.99 / $890.53 / $1,458.23	Professional		$585.99	$890.53	$1,458.23