Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.89 / $3,645.00 / $8,294.00	Facility		$943.89	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.20 / $892.61 / $1,143.75	Professional		$571.20	$892.61	$1,143.75
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 $781.37 / $1,021.41 / $1,688.69	Professional		$781.37	$1,021.41	$1,688.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $845.36 / $845.36 / $7,889.00	Professional		$845.36	$845.36	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $973.11	Facility		$572.00	$572.00	$973.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.46 / $872.25 / $1,843.22	Professional		$641.46	$872.25	$1,843.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.04 / $1,056.06 / $1,248.07	Professional		$816.04	$1,056.06	$1,248.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $752.44 / $991.08 / $1,541.97	Facility		$752.44	$991.08	$1,541.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $745.52 / $898.00 / $1,567.00	Professional		$745.52	$898.00	$1,567.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $668.04 / $965.16 / $2,039.00	Facility		$668.04	$965.16	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $965.16 / $2,039.00	Professional		$668.04	$965.16	$2,039.00
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 $521.41 / $879.89 / $1,586.29	Professional		$521.41	$879.89	$1,586.29