Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.29 / $3,991.00 / $8,920.00	Facility		$646.29	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $646.29 / $800.38	Professional		$505.35	$646.29	$800.38
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 $530.32 / $686.18 / $1,134.46	Professional		$530.32	$686.18	$1,134.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $650.48 / $679.99 / $1,757.00	Professional		$650.48	$679.99	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $658.46	Facility		$420.00	$420.00	$658.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.58 / $703.21 / $1,300.39	Professional		$539.58	$703.21	$1,300.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.16 / $711.88 / $825.24	Professional		$556.16	$711.88	$825.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $583.65 / $732.36 / $1,155.48	Facility		$583.65	$732.36	$1,155.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $695.00 / $780.00 / $1,176.00	Professional		$695.00	$780.00	$1,176.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $558.24 / $739.36 / $2,528.54	Facility		$558.24	$739.36	$2,528.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $558.24 / $739.36 / $2,528.54	Professional		$558.24	$739.36	$2,528.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.64 / $678.31 / $1,105.56	Professional		$421.64	$678.31	$1,105.56