Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.49 / $4,771.00 / $9,539.00	Facility		$676.49	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.20 / $676.49 / $842.22	Professional		$539.20	$676.49	$842.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.90 / $725.09 / $1,024.98	Professional		$559.90	$725.09	$1,024.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $591.80 / $657.57 / $1,205.68	Professional		$591.80	$657.57	$1,205.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $925.00	Facility		$490.00	$610.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.04 / $724.50 / $1,325.39	Professional		$551.04	$724.50	$1,325.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.69 / $709.91 / $990.34	Professional		$574.69	$709.91	$990.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $600.45 / $771.20 / $1,168.48	Facility		$600.45	$771.20	$1,168.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $694.00 / $834.00 / $1,422.72	Professional		$694.00	$834.00	$1,422.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $583.23 / $725.71 / $1,438.90	Facility		$583.23	$725.71	$1,438.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $583.23 / $725.71 / $1,438.90	Professional		$583.23	$725.71	$1,438.90
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 $467.11 / $684.90 / $1,124.17	Professional		$467.11	$684.90	$1,124.17