Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.77 / $5,412.00 / $11,024.00	Facility		$646.77	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $613.61 / $808.97	Professional		$516.91	$613.61	$808.97
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 $535.48 / $692.86 / $1,145.50	Professional		$535.48	$692.86	$1,145.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $641.08 / $692.37 / $12,325.00	Professional		$641.08	$692.37	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $662.14 / $776.00	Facility		$662.14	$662.14	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.16 / $706.37 / $1,272.77	Professional		$553.16	$706.37	$1,272.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.73 / $718.14 / $848.71	Professional		$560.73	$718.14	$848.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $591.96 / $745.82 / $1,122.91	Facility		$591.96	$745.82	$1,122.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $713.00 / $791.00 / $1,086.00	Professional		$713.00	$791.00	$1,086.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $517.75 / $703.30 / $2,600.00	Facility		$517.75	$703.30	$2,600.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $517.75 / $703.30 / $2,600.00	Professional		$517.75	$703.30	$2,600.00
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 $435.01 / $694.22 / $1,102.03	Professional		$435.01	$694.22	$1,102.03