Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.11 / $4,771.00 / $9,539.00	Facility		$686.11	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.55 / $686.11 / $827.68	Professional		$538.55	$686.11	$827.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.24 / $726.66 / $1,018.00	Professional		$568.24	$726.66	$1,018.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $597.04 / $689.78 / $1,200.05	Professional		$597.04	$689.78	$1,200.05
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 $567.98 / $770.92 / $1,368.68	Professional		$567.98	$770.92	$1,368.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.01 / $709.07 / $940.97	Professional		$574.01	$709.07	$940.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $637.78 / $812.29 / $1,246.67	Facility		$637.78	$812.29	$1,246.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $846.00 / $1,423.25	Professional		$687.00	$846.00	$1,423.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $604.59 / $765.46 / $1,435.00	Facility		$604.59	$765.46	$1,435.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $604.59 / $765.46 / $1,435.00	Professional		$604.59	$765.46	$1,435.00
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 $491.07 / $725.58 / $1,171.94	Professional		$491.07	$725.58	$1,171.94