Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.20 / $5,360.00 / $9,975.00	Facility		$793.20	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.83 / $621.08 / $882.21	Professional		$487.83	$621.08	$882.21
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 $559.49 / $718.64 / $1,015.58	Professional		$559.49	$718.64	$1,015.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $665.63 / $1,304.51 / $3,472.00	Professional		$665.63	$1,304.51	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.82 / $693.82 / $693.82	Facility		$693.82	$693.82	$693.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.82 / $753.52 / $1,177.70	Professional		$535.82	$753.52	$1,177.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.71 / $682.01 / $878.20	Professional		$579.71	$682.01	$878.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $542.17 / $728.10 / $1,110.48	Facility		$542.17	$728.10	$1,110.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $761.00 / $858.00 / $1,173.88	Professional		$761.00	$858.00	$1,173.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $523.04 / $769.16 / $2,755.00	Facility		$523.04	$769.16	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $527.57 / $785.91 / $2,755.00	Professional		$527.57	$785.91	$2,755.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.34 / $549.29 / $1,106.48	Professional		$413.34	$549.29	$1,106.48