Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.94 / $2,561.00 / $8,294.00	Facility		$773.94	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.80 / $597.70 / $969.48	Professional		$467.80	$597.70	$969.48
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 $541.16 / $695.09 / $982.29	Professional		$541.16	$695.09	$982.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $618.20 / $1,205.49 / $5,354.00	Professional		$618.20	$1,205.49	$5,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $671.08 / $671.08 / $671.08	Facility		$671.08	$671.08	$671.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.75 / $713.89 / $1,110.64	Professional		$516.75	$713.89	$1,110.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.12 / $657.79 / $842.28	Professional		$559.12	$657.79	$842.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.65 / $701.55 / $1,068.04	Facility		$549.65	$701.55	$1,068.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $804.00 / $1,137.84	Professional		$717.00	$804.00	$1,137.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $535.63 / $711.40 / $7,420.00	Facility		$535.63	$711.40	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $535.63 / $711.40 / $7,420.00	Professional		$535.63	$711.40	$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 $414.50 / $572.13 / $941.53	Professional		$414.50	$572.13	$941.53