Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.47 / $5,412.00 / $11,025.00	Facility		$725.47	$5,412.00	$11,025.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.24 / $681.77 / $1,131.73	Professional		$602.24	$681.77	$1,131.73
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 $593.75 / $759.28 / $1,255.31	Professional		$593.75	$759.28	$1,255.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $695.51 / $711.93 / $9,951.00	Professional		$695.51	$711.93	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.70 / $731.70 / $900.00	Facility		$731.70	$731.70	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $809.60 / $1,407.50	Professional		$624.36	$809.60	$1,407.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.22 / $796.44 / $933.49	Professional		$622.22	$796.44	$933.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.89 / $848.80 / $1,320.00	Facility		$660.89	$848.80	$1,320.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $807.00 / $906.00 / $1,290.00	Professional		$807.00	$906.00	$1,290.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $615.04 / $825.86 / $2,796.99	Facility		$615.04	$825.86	$2,796.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $615.04 / $825.86 / $2,796.99	Professional		$615.04	$825.86	$2,796.99
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 $494.44 / $780.32 / $1,211.39	Professional		$494.44	$780.32	$1,211.39