Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.73 / $3,645.00 / $8,294.00	Facility		$674.73	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.30 / $674.73 / $826.11	Professional		$568.30	$674.73	$826.11
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 $571.33 / $739.23 / $1,222.16	Professional		$571.33	$739.23	$1,222.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $655.72 / $675.44 / $5,113.00	Professional		$655.72	$675.44	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $704.17	Facility		$572.00	$572.00	$704.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.50 / $737.93 / $1,362.15	Professional		$514.50	$737.93	$1,362.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.21 / $765.09 / $904.20	Professional		$591.21	$765.09	$904.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $584.49 / $744.71 / $1,147.04	Facility		$584.49	$744.71	$1,147.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $823.00 / $1,162.00	Professional		$688.00	$823.00	$1,162.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $526.04 / $753.09 / $2,609.90	Facility		$526.04	$753.09	$2,609.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $526.04 / $753.09 / $2,609.90	Professional		$526.04	$753.09	$2,609.90
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 $431.24 / $677.66 / $1,148.09	Professional		$431.24	$677.66	$1,148.09