Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.03 / $4,771.00 / $9,539.00	Facility		$698.03	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.29 / $698.03 / $852.95	Professional		$547.29	$698.03	$852.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.38 / $756.13 / $1,250.09	Professional		$584.38	$756.13	$1,250.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $629.25 / $682.97 / $3,019.00	Professional		$629.25	$682.97	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $724.03	Facility		$640.00	$640.00	$724.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.82 / $787.76 / $1,440.60	Professional		$584.82	$787.76	$1,440.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.94 / $773.58 / $914.23	Professional		$603.94	$773.58	$914.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $653.91 / $816.70 / $1,184.66	Facility		$653.91	$816.70	$1,184.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $706.00 / $870.90 / $1,180.00	Professional		$706.00	$870.90	$1,180.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $607.32 / $798.55 / $2,762.57	Facility		$607.32	$798.55	$2,762.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $607.32 / $798.55 / $2,762.57	Professional		$607.32	$798.55	$2,762.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.29 / $754.46 / $1,186.85	Professional		$477.29	$754.46	$1,186.85