Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.23 / $4,771.00 / $9,539.00	Facility		$805.23	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.19 / $805.23 / $1,005.48	Professional		$664.19	$805.23	$1,005.48
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 $704.96 / $912.94 / $1,509.36	Professional		$704.96	$912.94	$1,509.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $795.16 / $805.00 / $5,113.00	Professional		$795.16	$805.00	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $869.70	Facility		$640.00	$640.00	$869.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.28 / $926.67 / $1,659.33	Professional		$715.28	$926.67	$1,659.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.90 / $941.95 / $1,108.95	Professional		$735.90	$941.95	$1,108.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $684.45 / $951.64 / $1,402.78	Facility		$684.45	$951.64	$1,402.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $1,054.04 / $1,457.00	Professional		$885.00	$1,054.04	$1,457.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $739.60 / $965.13 / $3,179.70	Facility		$739.60	$965.13	$3,179.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $739.60 / $965.13 / $3,179.70	Professional		$739.60	$965.13	$3,179.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,978.00 / $13,217.00	Facility		$3,510.00	$5,978.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.84 / $911.38 / $1,402.46	Professional		$562.84	$911.38	$1,402.46