Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.30 / $5,412.00 / $11,425.00	Facility		$655.30	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.73 / $655.26 / $792.65	Professional		$510.73	$655.26	$792.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.72 / $710.94 / $1,175.39	Professional		$546.72	$710.94	$1,175.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $627.22 / $677.40 / $5,804.00	Professional		$627.22	$677.40	$5,804.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.48 / $679.48 / $1,700.00	Facility		$679.48	$679.48	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.40 / $715.86 / $1,323.78	Professional		$539.40	$715.86	$1,323.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.66 / $736.86 / $857.04	Professional		$575.66	$736.86	$857.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.66 / $766.16 / $1,199.22	Facility		$575.66	$766.16	$1,199.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $808.59 / $1,122.00	Professional		$717.00	$808.59	$1,122.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.67 / $746.49 / $2,600.00	Facility		$575.67	$746.49	$2,600.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.67 / $746.49 / $2,600.00	Professional		$575.67	$746.49	$2,600.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.06 / $707.69 / $1,105.42	Professional		$431.06	$707.69	$1,105.42