Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.83 / $5,360.00 / $9,975.00	Facility		$732.83	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.52 / $568.28 / $772.90	Professional		$443.52	$568.28	$772.90
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 $514.10 / $660.33 / $933.18	Professional		$514.10	$660.33	$933.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $586.73 / $1,144.11 / $4,337.00	Professional		$586.73	$1,144.11	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.53 / $637.53 / $637.53	Facility		$637.53	$637.53	$637.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.88 / $671.66 / $1,056.30	Professional		$484.88	$671.66	$1,056.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.42 / $627.57 / $804.14	Professional		$533.42	$627.57	$804.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $525.04 / $677.09 / $1,013.94	Facility		$525.04	$677.09	$1,013.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $753.00 / $1,078.63	Professional		$642.00	$753.00	$1,078.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.78 / $677.09 / $7,420.00	Facility		$502.78	$677.09	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $502.78 / $677.09 / $7,420.00	Professional		$502.78	$677.09	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $524.73 / $972.15	Professional		$392.17	$524.73	$972.15