Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.98 / $5,412.00 / $11,092.00	Facility		$741.98	$5,412.00	$11,092.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.37 / $691.34 / $829.97	Professional		$599.37	$691.34	$829.97
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 $576.24 / $736.88 / $1,218.28	Professional		$576.24	$736.88	$1,218.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $680.34 / $731.77 / $5,146.00	Professional		$680.34	$731.77	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $713.09	Facility		$640.00	$640.00	$713.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.64 / $844.02 / $1,405.22	Professional		$623.64	$844.02	$1,405.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $775.56 / $910.05	Professional		$605.91	$775.56	$910.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $656.46 / $868.12 / $1,309.88	Facility		$656.46	$868.12	$1,309.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $846.00 / $956.80 / $1,317.00	Professional		$846.00	$956.80	$1,317.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $600.29 / $842.57 / $2,792.45	Facility		$600.29	$842.57	$2,792.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $600.29 / $847.74 / $2,792.45	Professional		$600.29	$847.74	$2,792.45
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 $513.59 / $761.10 / $1,228.57	Professional		$513.59	$761.10	$1,228.57