Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.61 / $5,282.00 / $9,347.59	Facility		$881.61	$5,282.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $625.89 / $928.10	Professional		$494.38	$625.89	$928.10
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 $533.04 / $696.79 / $990.20	Professional		$533.04	$696.79	$990.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $594.79 / $594.79 / $1,195.55	Professional		$594.79	$594.79	$1,195.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.00 / $988.00 / $1,572.88	Facility		$605.00	$988.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.19 / $685.96 / $1,242.27	Professional		$496.19	$685.96	$1,242.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.61 / $672.02 / $917.76	Professional		$556.61	$672.02	$917.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $582.25 / $732.94 / $1,103.79	Facility		$582.25	$732.94	$1,103.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $774.00 / $1,350.00	Professional		$632.00	$774.00	$1,350.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $546.91 / $684.80 / $1,331.99	Facility		$546.91	$684.80	$1,331.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $684.80 / $1,331.99	Professional		$546.91	$684.80	$1,331.99
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,978.00 / $12,680.00	Facility		$908.00	$5,978.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.20 / $625.22 / $1,076.21	Professional		$430.20	$625.22	$1,076.21