Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.24 / $4,771.00 / $9,539.00	Facility		$741.24	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.98 / $741.24 / $881.03	Professional		$576.98	$741.24	$881.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.13 / $8,012.60 / $11,216.04	Facility		$5,362.13	$8,012.60	$11,216.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.62 / $794.25 / $1,122.75	Professional		$608.62	$794.25	$1,122.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $672.18 / $752.84 / $1,310.75	Professional		$672.18	$752.84	$1,310.75
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 $555.44 / $785.92 / $1,414.19	Professional		$555.44	$785.92	$1,414.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.83 / $781.73 / $1,015.26	Professional		$632.83	$781.73	$1,015.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $671.44 / $843.00 / $1,252.70	Facility		$671.44	$843.00	$1,252.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $747.00 / $898.00 / $1,465.00	Professional		$747.00	$898.00	$1,465.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $632.82 / $779.66 / $1,548.91	Facility		$632.82	$779.66	$1,548.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $632.82 / $779.66 / $1,548.91	Professional		$632.82	$779.66	$1,548.91
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.72 / $754.49 / $1,291.00	Professional		$512.72	$754.49	$1,291.00