Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.65 / $5,412.00 / $11,425.00	Facility		$846.65	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.77 / $769.33 / $968.82	Professional		$655.77	$769.33	$968.82
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 $677.96 / $866.96 / $1,433.34	Professional		$677.96	$866.96	$1,433.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $804.85 / $804.85 / $7,889.00	Professional		$804.85	$804.85	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.55 / $826.55 / $1,700.00	Facility		$826.55	$826.55	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.53 / $903.44 / $1,640.74	Professional		$701.53	$903.44	$1,640.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.85 / $895.81 / $1,057.67	Professional		$699.85	$895.81	$1,057.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $750.19 / $963.33 / $1,407.87	Facility		$750.19	$963.33	$1,407.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $845.00 / $1,009.82 / $1,392.00	Professional		$845.00	$1,009.82	$1,392.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $687.15 / $913.16 / $3,260.72	Facility		$687.15	$913.16	$3,260.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $687.15 / $913.16 / $3,260.72	Professional		$687.15	$913.16	$3,260.72
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.19 / $946.49 / $1,476.89	Professional		$577.19	$946.49	$1,476.89