Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.08 / $5,980.00 / $14,798.00	Facility		$875.08	$5,980.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.87 / $791.16 / $1,119.60	Professional		$665.87	$791.16	$1,119.60
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 $688.70 / $884.64 / $1,462.57	Professional		$688.70	$884.64	$1,462.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $696.14 / $779.68 / $9,951.00	Professional		$696.14	$779.68	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.94 / $839.94 / $1,200.00	Facility		$839.94	$839.94	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.48 / $914.23 / $1,683.93	Professional		$699.48	$914.23	$1,683.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.99 / $914.49 / $1,080.76	Professional		$711.99	$914.49	$1,080.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $743.82 / $964.69 / $1,479.42	Facility		$743.82	$964.69	$1,479.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $995.00 / $1,429.00	Professional		$826.00	$995.00	$1,429.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $667.60 / $915.28 / $3,346.53	Facility		$667.60	$915.28	$3,346.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $667.60 / $915.28 / $3,346.53	Professional		$667.60	$915.28	$3,346.53
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 $588.42 / $933.42 / $1,559.53	Professional		$588.42	$933.42	$1,559.53