Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.92 / $5,040.00 / $10,637.11	Facility		$939.92	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.33 / $588.02 / $791.18	Professional		$511.33	$588.02	$791.18
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 $496.64 / $635.09 / $1,049.99	Professional		$496.64	$635.09	$1,049.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.03 / $655.63 / $5,146.00	Professional		$596.03	$655.63	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.48 / $602.48 / $900.00	Facility		$602.48	$602.48	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.55 / $724.07 / $1,218.89	Professional		$512.55	$724.07	$1,218.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.62 / $655.60 / $774.80	Professional		$510.62	$655.60	$774.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.63 / $734.48 / $1,073.01	Facility		$537.63	$734.48	$1,073.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $713.00 / $814.00 / $1,134.00	Professional		$713.00	$814.00	$1,134.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.69 / $723.87 / $2,423.44	Facility		$502.69	$723.87	$2,423.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $502.69 / $723.87 / $2,423.44	Professional		$502.69	$723.87	$2,423.44
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 $444.02 / $710.44 / $1,101.63	Professional		$444.02	$710.44	$1,101.63