Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.45 / $5,048.00 / $10,767.00	Facility		$308.45	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $308.45 / $384.31	Professional		$215.20	$308.45	$384.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.25 / $455.57 / $753.19	Professional		$356.25	$455.57	$753.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $257.73 / $2,012.00	Professional		$257.73	$257.73	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.70 / $395.70 / $1,700.00	Facility		$395.70	$395.70	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.19 / $1,442.19 / $1,442.19	Professional		$1,442.19	$1,442.19	$1,442.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.75 / $370.79 / $428.83	Professional		$289.75	$370.79	$428.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $378.51 / $564.48	Facility		$299.52	$378.51	$564.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $818.33 / $818.33	Professional		$575.00	$818.33	$818.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $290.08 / $510.12 / $7,030.19	Facility		$290.08	$510.12	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $510.12 / $7,030.19	Professional		$290.08	$510.12	$7,030.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.65 / $326.23 / $506.35	Professional		$204.65	$326.23	$506.35