Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.51 / $3,645.00 / $8,294.00	Facility		$921.51	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.09 / $690.48 / $921.51	Professional		$509.09	$690.48	$921.51
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 $614.47 / $810.55 / $1,145.47	Professional		$614.47	$810.55	$1,145.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $708.92 / $1,382.39 / $5,354.00	Professional		$708.92	$1,382.39	$5,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.54 / $782.54 / $782.54	Facility		$782.54	$782.54	$782.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.47 / $754.79 / $1,300.07	Professional		$517.47	$754.79	$1,300.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.58 / $767.74 / $972.82	Professional		$652.58	$767.74	$972.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $570.83 / $767.74 / $1,227.63	Facility		$570.83	$767.74	$1,227.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $713.00 / $790.00 / $1,338.08	Professional		$713.00	$790.00	$1,338.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.99 / $769.89 / $9,210.00	Facility		$575.99	$769.89	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.99 / $769.89 / $9,210.00	Professional		$575.99	$769.89	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.98 / $613.80 / $1,010.49	Professional		$419.98	$613.80	$1,010.49