Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.31 / $3,645.00 / $8,294.00	Facility		$677.31	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.39 / $630.16 / $978.71	Professional		$523.39	$630.16	$978.71
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 $517.71 / $674.85 / $956.65	Professional		$517.71	$674.85	$956.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $664.54 / $1,335.73	Professional		$600.00	$664.54	$1,335.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $646.51 / $1,572.88	Facility		$425.00	$646.51	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.87 / $666.21 / $1,204.42	Professional		$477.87	$666.21	$1,204.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $651.72 / $872.82	Professional		$525.00	$651.72	$872.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $712.09 / $1,070.15	Facility		$560.00	$712.09	$1,070.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $605.00 / $737.00 / $1,280.00	Professional		$605.00	$737.00	$1,280.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $527.67 / $663.94 / $1,344.49	Facility		$527.67	$663.94	$1,344.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $527.67 / $663.94 / $1,344.49	Professional		$527.67	$663.94	$1,344.49
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 $410.68 / $604.79 / $1,067.02	Professional		$410.68	$604.79	$1,067.02