Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.17 / $5,412.00 / $11,024.00	Facility		$684.17	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.94 / $684.17 / $838.77	Professional		$583.94	$684.17	$838.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.87 / $721.16 / $1,019.43	Professional		$556.87	$721.16	$1,019.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $642.78 / $649.91 / $1,317.70	Professional		$642.78	$649.91	$1,317.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,540.24 / $1,896.02	Facility		$610.00	$1,540.24	$1,896.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.14 / $739.07 / $1,317.68	Professional		$523.14	$739.07	$1,317.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.66 / $703.70 / $1,005.29	Professional		$569.66	$703.70	$1,005.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $620.24 / $777.98 / $1,156.25	Facility		$620.24	$777.98	$1,156.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $722.40 / $852.00 / $1,412.09	Professional		$722.40	$852.00	$1,412.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $593.13 / $734.25 / $1,425.10	Facility		$593.13	$734.25	$1,425.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $593.13 / $734.25 / $1,425.10	Professional		$593.13	$734.25	$1,425.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.75 / $688.96 / $1,130.53	Professional		$469.75	$688.96	$1,130.53