Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.27 / $5,480.00 / $14,798.00	Facility		$852.27	$5,480.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.58 / $747.59 / $883.35	Professional		$620.58	$747.59	$883.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.21 / $762.42 / $1,260.50	Professional		$596.21	$762.42	$1,260.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $693.23 / $693.23 / $5,804.00	Professional		$693.23	$693.23	$5,804.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $1,084.85 / $1,200.00	Facility		$1,084.85	$1,084.85	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.16 / $914.30 / $1,575.57	Professional		$655.16	$914.30	$1,575.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.13 / $984.73 / $1,163.77	Professional		$768.13	$984.73	$1,163.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.50 / $956.67 / $1,441.20	Facility		$701.50	$956.67	$1,441.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $985.16 / $1,140.00 / $1,513.94	Professional		$985.16	$1,140.00	$1,513.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $627.97 / $820.61 / $1,683.00	Facility		$627.97	$820.61	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $768.14 / $1,005.56 / $2,000.54	Professional		$768.14	$1,005.56	$2,000.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.82 / $953.50 / $1,504.48	Professional		$605.82	$953.50	$1,504.48