Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $4,032.00 / $8,920.00	Facility		$224.97	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $224.97 / $1,616.27	Professional		$224.97	$224.97	$1,616.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $776.55 / $10,056.00	Facility		$509.17	$776.55	$10,056.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.93 / $495.02 / $818.41	Professional		$385.93	$495.02	$818.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $807.07 / $807.07 / $1,525.36	Professional		$807.07	$807.07	$1,525.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,613.67	Facility		$640.00	$640.00	$1,613.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.38 / $6,763.38 / $6,763.38	Professional		$6,763.38	$6,763.38	$6,763.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,360.38 / $1,740.79 / $2,013.36	Professional		$1,360.38	$1,740.79	$2,013.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $476.94 / $2,424.41	Facility		$224.97	$476.94	$2,424.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,034.00 / $2,837.66	Professional		$1,836.00	$2,034.00	$2,837.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,121.34 / $1,481.00 / $2,536.12	Facility		$1,121.34	$1,481.00	$2,536.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,121.34 / $1,481.00 / $2,536.12	Professional		$1,121.34	$1,481.00	$2,536.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.05 / $1,079.94 / $1,938.02	Professional		$577.05	$1,079.94	$1,938.02