Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.96 / $5,087.00 / $8,920.00	Facility		$575.96	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.46 / $575.96 / $613.76	Professional		$502.46	$575.96	$613.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.49 / $679.66 / $1,123.68	Professional		$531.49	$679.66	$1,123.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,795.00 / $3,714.00 / $6,608.00	Professional		$2,795.00	$3,714.00	$6,608.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.72 / $608.72 / $640.00	Facility		$608.72	$608.72	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,536.67 / $2,536.67 / $2,536.67	Professional		$2,536.67	$2,536.67	$2,536.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.20 / $652.89 / $755.08	Professional		$510.20	$652.89	$755.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $485.41 / $613.76 / $979.13	Facility		$485.41	$613.76	$979.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.54 / $888.37 / $1,258.99	Professional		$700.54	$888.37	$1,258.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $518.79 / $686.96 / $2,418.98	Facility		$518.79	$686.96	$2,418.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $518.79 / $686.96 / $2,418.98	Professional		$518.79	$686.96	$2,418.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.60 / $682.38 / $1,043.52	Professional		$442.60	$682.38	$1,043.52