Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.31 / $5,412.00 / $11,425.00	Facility		$781.31	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.40 / $722.68 / $916.31	Professional		$614.40	$722.68	$916.31
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 $640.77 / $819.41 / $1,354.73	Professional		$640.77	$819.41	$1,354.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $753.69 / $753.69 / $9,951.00	Professional		$753.69	$753.69	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $783.40	Facility		$640.00	$640.00	$783.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.89 / $852.14 / $1,456.44	Professional		$666.89	$852.14	$1,456.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.93 / $848.55 / $999.52	Professional		$662.93	$848.55	$999.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $914.13 / $1,429.80	Facility		$710.11	$914.13	$1,429.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $977.00 / $1,377.00	Professional		$867.00	$977.00	$1,377.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $645.37 / $868.87 / $2,833.79	Facility		$645.37	$868.87	$2,833.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $645.37 / $868.87 / $2,833.79	Professional		$645.37	$868.87	$2,833.79
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 $506.52 / $806.64 / $1,299.26	Professional		$506.52	$806.64	$1,299.26