Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.48 / $4,771.00 / $9,539.00	Facility		$575.48	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.04 / $575.48 / $690.96	Professional		$463.04	$575.48	$690.96
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 $479.42 / $613.08 / $1,013.60	Professional		$479.42	$613.08	$1,013.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $525.76 / $554.29 / $15,406.00	Professional		$525.76	$554.29	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $586.41	Facility		$572.00	$572.00	$586.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.87 / $654.19 / $1,168.42	Professional		$485.87	$654.19	$1,168.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.53 / $628.77 / $743.09	Professional		$490.53	$628.77	$743.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $506.71 / $673.31 / $974.42	Facility		$506.71	$673.31	$974.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $729.00 / $1,049.75	Professional		$608.00	$729.00	$1,049.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $499.58 / $682.38 / $1,683.00	Facility		$499.58	$682.38	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $499.58 / $682.38 / $1,683.00	Professional		$499.58	$682.38	$1,683.00
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 $397.83 / $615.13 / $962.81	Professional		$397.83	$615.13	$962.81