Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $5,587.00 / $11,425.00	Facility		$640.00	$5,587.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $775.82 / $978.97	Professional		$634.54	$775.82	$978.97
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 $628.14 / $781.45 / $1,126.15	Professional		$628.14	$781.45	$1,126.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $783.59 / $1,528.00 / $5,424.00	Professional		$783.59	$1,528.00	$5,424.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.80 / $861.80 / $861.80	Facility		$861.80	$861.80	$861.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $865.37 / $1,450.11	Professional		$649.61	$865.37	$1,450.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.58 / $838.33 / $1,066.58	Professional		$712.58	$838.33	$1,066.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $903.53 / $1,370.56	Facility		$640.00	$903.53	$1,370.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $873.00 / $1,022.00 / $1,435.07	Professional		$873.00	$1,022.00	$1,435.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $909.93 / $7,420.00	Facility		$617.41	$909.93	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $909.93 / $7,420.00	Professional		$617.41	$909.93	$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 $528.07 / $674.03 / $1,221.28	Professional		$528.07	$674.03	$1,221.28