Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.04 / $2,561.00 / $8,294.00	Facility		$664.04	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.88 / $596.97 / $833.29	Professional		$389.88	$596.97	$833.29
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 $526.73 / $688.54 / $1,138.35	Professional		$526.73	$688.54	$1,138.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $475.68 / $558.39 / $6,433.00	Professional		$475.68	$558.39	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $661.80	Facility		$640.00	$640.00	$661.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.90 / $697.58 / $1,757.46	Professional		$469.90	$697.58	$1,757.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.73 / $702.36 / $830.06	Professional		$542.73	$702.36	$830.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.13 / $776.93 / $2,193.00	Facility		$575.13	$776.93	$2,193.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $850.11 / $2,050.00	Professional		$567.00	$850.11	$2,050.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $452.08 / $674.99 / $1,683.00	Facility		$452.08	$674.99	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $502.31 / $905.61 / $3,123.00	Professional		$502.31	$905.61	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.38 / $982.92 / $3,301.82	Professional		$473.38	$982.92	$3,301.82