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 / $765.74	Professional		$224.97	$224.97	$765.74
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 $428.20 / $554.04 / $916.01	Professional		$428.20	$554.04	$916.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $749.30 / $749.30 / $1,416.18	Professional		$749.30	$749.30	$1,416.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $847.20	Facility		$640.00	$640.00	$847.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,526.70 / $3,526.70 / $3,526.70	Professional		$3,526.70	$3,526.70	$3,526.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.39 / $859.16 / $993.66	Professional		$671.39	$859.16	$993.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $411.70 / $1,225.18	Facility		$224.97	$411.70	$1,225.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $958.00 / $1,056.00 / $1,752.24	Professional		$958.00	$1,056.00	$1,752.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $604.97 / $806.22 / $1,371.59	Facility		$604.97	$806.22	$1,371.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $604.97 / $806.22 / $1,371.59	Professional		$604.97	$806.22	$1,371.59
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 $499.98 / $839.24 / $1,347.17	Professional		$499.98	$839.24	$1,347.17