Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.45 / $5,360.00 / $9,539.00	Facility		$781.45	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.17 / $781.45 / $976.93	Professional		$625.17	$781.45	$976.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.75 / $834.73 / $1,380.05	Professional		$652.75	$834.73	$1,380.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $759.34 / $768.35 / $4,646.00	Professional		$759.34	$768.35	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $797.54	Facility		$776.00	$776.00	$797.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.27 / $864.61 / $1,579.25	Professional		$659.27	$864.61	$1,579.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.70 / $862.88 / $1,019.77	Professional		$673.70	$862.88	$1,019.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $673.03 / $900.91 / $1,293.78	Facility		$673.03	$900.91	$1,293.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $861.00 / $977.00 / $1,359.00	Professional		$861.00	$977.00	$1,359.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $675.51 / $923.97 / $3,026.14	Facility		$675.51	$923.97	$3,026.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $675.51 / $923.97 / $3,026.14	Professional		$675.51	$923.97	$3,026.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.67 / $879.10 / $1,304.65	Professional		$535.67	$879.10	$1,304.65