Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.93 / $5,087.00 / $8,294.00	Facility		$734.93	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.51 / $692.46 / $861.96	Professional		$553.51	$692.46	$861.96
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 $562.50 / $732.94 / $1,022.84	Professional		$562.50	$732.94	$1,022.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $627.89 / $665.59 / $1,262.06	Professional		$627.89	$665.59	$1,262.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $925.00 / $1,572.88	Facility		$490.00	$925.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.80 / $727.87 / $1,336.00	Professional		$508.80	$727.87	$1,336.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.91 / $707.33 / $970.60	Professional		$549.91	$707.33	$970.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $776.85 / $1,170.26	Facility		$602.00	$776.85	$1,170.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $683.00 / $832.00 / $1,441.90	Professional		$683.00	$832.00	$1,441.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $576.16 / $723.41 / $1,462.36	Facility		$576.16	$723.41	$1,462.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $576.16 / $723.41 / $1,462.36	Professional		$576.16	$723.41	$1,462.36
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 $468.76 / $680.56 / $1,205.92	Professional		$468.76	$680.56	$1,205.92