Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.51 / $4,390.00 / $8,920.00	Facility		$788.51	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.72 / $788.51 / $990.82	Professional		$659.72	$788.51	$990.82
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 $636.38 / $824.12 / $1,172.15	Professional		$636.38	$824.12	$1,172.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $740.61 / $740.61 / $1,488.63	Professional		$740.61	$740.61	$1,488.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,277.74 / $1,727.00	Facility		$610.00	$1,277.74	$1,727.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.89 / $840.76 / $1,513.39	Professional		$588.89	$840.76	$1,513.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.86 / $804.01 / $1,148.58	Professional		$650.86	$804.01	$1,148.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $884.63 / $1,332.58	Facility		$684.46	$884.63	$1,332.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $808.00 / $976.00 / $1,634.57	Professional		$808.00	$976.00	$1,634.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $669.57 / $844.99 / $1,649.01	Facility		$669.57	$844.99	$1,649.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $669.57 / $844.99 / $1,649.01	Professional		$669.57	$844.99	$1,649.01
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.51 / $774.52 / $1,302.35	Professional		$516.51	$774.52	$1,302.35