Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.58 / $1,938.00 / $6,827.70	Facility		$618.58	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $524.65 / $812.00	Professional		$316.83	$524.65	$812.00
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 $388.43 / $507.76 / $839.47	Professional		$388.43	$507.76	$839.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $364.62 / $433.90 / $3,293.00	Professional		$364.62	$433.90	$3,293.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $724.87	Facility		$420.00	$420.00	$724.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.32 / $660.54 / $1,177.44	Professional		$378.32	$660.54	$1,177.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.49 / $1,108.39 / $1,309.92	Professional		$856.49	$1,108.39	$1,309.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $360.92 / $653.98 / $1,078.40	Facility		$360.92	$653.98	$1,078.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $835.00 / $1,150.00	Professional		$750.00	$835.00	$1,150.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $351.94 / $460.99 / $1,695.91	Facility		$351.94	$460.99	$1,695.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $607.02 / $885.91 / $2,639.35	Professional		$607.02	$885.91	$2,639.35
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 $476.75 / $776.69 / $1,211.40	Professional		$476.75	$776.69	$1,211.40