Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.88 / $5,360.00 / $9,539.00	Facility		$863.88	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.48 / $820.36 / $988.74	Professional		$663.48	$820.36	$988.74
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 $681.64 / $871.67 / $1,232.19	Professional		$681.64	$871.67	$1,232.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $749.34 / $784.52 / $1,504.53	Professional		$749.34	$784.52	$1,504.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.00 / $988.00 / $1,896.02	Facility		$605.00	$988.00	$1,896.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.23 / $894.54 / $1,594.99	Professional		$651.23	$894.54	$1,594.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.61 / $834.83 / $1,208.90	Professional		$646.61	$834.83	$1,208.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $752.98 / $941.47 / $1,386.41	Facility		$752.98	$941.47	$1,386.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $828.00 / $1,009.00 / $1,706.06	Professional		$828.00	$1,009.00	$1,706.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $727.60 / $898.65 / $1,727.30	Facility		$727.60	$898.65	$1,727.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $727.60 / $898.65 / $1,727.30	Professional		$727.60	$898.65	$1,727.30
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 $569.19 / $843.94 / $1,370.16	Professional		$569.19	$843.94	$1,370.16