Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.50 / $2,705.00 / $7,275.00	Facility		$648.50	$2,705.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.96 / $705.22 / $1,214.47	Professional		$479.96	$705.22	$1,214.47
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 $508.62 / $650.41 / $903.17	Professional		$508.62	$650.41	$903.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $592.95 / $1,156.25 / $3,426.00	Professional		$592.95	$1,156.25	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.47 / $915.47 / $915.47	Facility		$915.47	$915.47	$915.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.13 / $747.60 / $1,373.84	Professional		$515.13	$747.60	$1,373.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.57 / $820.67 / $1,041.05	Professional		$697.57	$820.67	$1,041.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $525.79 / $773.15 / $1,240.08	Facility		$525.79	$773.15	$1,240.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $922.00 / $1,034.00 / $1,383.00	Professional		$922.00	$1,034.00	$1,383.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $513.85 / $691.80 / $7,420.00	Facility		$513.85	$691.80	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $608.50 / $921.10 / $7,420.00	Professional		$608.50	$921.10	$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 $533.16 / $722.55 / $1,268.95	Professional		$533.16	$722.55	$1,268.95