Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.44 / $3,991.00 / $8,294.00	Facility		$665.44	$3,991.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.97 / $680.96 / $1,076.28	Professional		$566.97	$680.96	$1,076.28
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 $596.21 / $750.22 / $1,058.69	Professional		$596.21	$750.22	$1,058.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $894.31 / $1,125.33 / $1,588.04	Professional	50	$894.31	$1,125.33	$1,588.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $692.42 / $1,359.99 / $4,284.00	Professional		$692.42	$1,359.99	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,080.89 / $1,080.89 / $1,080.89	Facility		$1,080.89	$1,080.89	$1,080.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.84 / $836.03 / $1,410.34	Professional		$597.84	$836.03	$1,410.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.98 / $849.39 / $1,086.01	Professional		$721.98	$849.39	$1,086.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $612.27 / $854.00 / $1,292.41	Facility		$612.27	$854.00	$1,292.41
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,057.50 / $1,384.40 / $3,239.89	Facility	50	$1,057.50	$1,384.40	$3,239.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $925.00 / $1,064.00 / $1,468.59	Professional		$925.00	$1,064.00	$1,468.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $552.20 / $815.08 / $7,420.00	Facility		$552.20	$815.08	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $632.44 / $942.62 / $7,420.00	Professional		$632.44	$942.62	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $730.76 / $1,234.05	Professional		$548.26	$730.76	$1,234.05