Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.93 / $5,293.00 / $23,880.74	Facility		$906.93	$5,293.00	$23,880.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.36 / $832.05 / $1,138.10	Professional		$647.36	$832.05	$1,138.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.38 / $852.47 / $1,182.76	Professional		$674.38	$852.47	$1,182.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $799.95 / $799.95 / $1,607.90	Professional		$799.95	$799.95	$1,607.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $989.47	Facility		$490.00	$610.00	$989.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,357.79 / $4,119.12	Professional		$1,133.27	$1,357.79	$4,119.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.56 / $994.27 / $1,226.27	Professional		$828.56	$994.27	$1,226.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $619.99 / $832.05 / $1,406.16	Facility		$619.99	$832.05	$1,406.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,167.00 / $1,499.00 / $2,046.36	Professional		$1,167.00	$1,499.00	$2,046.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $586.15 / $983.33 / $2,071.57	Facility		$586.15	$983.33	$2,071.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $586.15 / $983.33 / $2,071.57	Professional		$586.15	$983.33	$2,071.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $640.17 / $1,150.83	Professional		$253.75	$640.17	$1,150.83