Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.33 / $5,087.00 / $8,294.00	Facility		$755.33	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $755.33 / $826.95	Professional		$635.89	$755.33	$826.95
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 $618.34 / $790.72 / $1,084.47	Professional		$618.34	$790.72	$1,084.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $721.75 / $1,062.65 / $4,284.00	Professional		$721.75	$1,062.65	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.74 / $892.67 / $1,644.11	Professional		$648.74	$892.67	$1,644.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.34 / $758.81 / $935.86	Professional		$632.34	$758.81	$935.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $733.64 / $892.67 / $1,347.92	Facility		$733.64	$892.67	$1,347.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $862.00 / $962.00 / $1,571.21	Professional		$862.00	$962.00	$1,571.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $671.22 / $898.16 / $2,052.00	Facility		$671.22	$898.16	$2,052.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $671.22 / $898.16 / $2,052.00	Professional		$671.22	$898.16	$2,052.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.74 / $936.69 / $1,453.45	Professional		$545.74	$936.69	$1,453.45