Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.73 / $5,360.00 / $9,539.00	Facility		$738.73	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.38 / $738.73 / $896.51	Professional		$652.38	$738.73	$896.51
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 $614.76 / $795.43 / $1,315.08	Professional		$614.76	$795.43	$1,315.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $752.57 / $812.78 / $5,113.00	Professional		$752.57	$812.78	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $776.00	Facility		$755.12	$755.12	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.16 / $915.96 / $1,445.51	Professional		$642.16	$915.96	$1,445.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.72 / $827.12 / $977.51	Professional		$642.72	$827.12	$977.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $658.60 / $894.42 / $1,342.60	Facility		$658.60	$894.42	$1,342.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $932.00 / $1,060.00 / $1,501.95	Professional		$932.00	$1,060.00	$1,501.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $611.14 / $925.30 / $2,837.99	Facility		$611.14	$925.30	$2,837.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $611.14 / $925.30 / $2,837.99	Professional		$611.14	$925.30	$2,837.99
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 $535.61 / $875.77 / $1,378.20	Professional		$535.61	$875.77	$1,378.20