Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.45 / $3,991.00 / $8,920.00	Facility		$781.45	$3,991.00	$8,920.00
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 $743.54 / $803.02 / $9,951.00	Professional		$743.54	$803.02	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $797.54	Facility		$640.00	$640.00	$797.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.77 / $854.35 / $1,579.25	Professional		$657.77	$854.35	$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 / $1,288.33	Facility		$673.03	$900.91	$1,288.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $861.00 / $976.92 / $1,359.00	Professional		$861.00	$976.92	$1,359.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $675.51 / $918.31 / $3,026.14	Facility		$675.51	$918.31	$3,026.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $675.51 / $918.31 / $3,026.14	Professional		$675.51	$918.31	$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 $516.65 / $842.13 / $1,338.72	Professional		$516.65	$842.13	$1,338.72