Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.21 / $5,412.00 / $11,024.00	Facility		$869.21	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $839.31 / $1,056.28	Professional		$717.27	$839.31	$1,056.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.04 / $941.24 / $1,556.15	Professional		$736.04	$941.24	$1,556.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $950.67 / $950.67 / $4,646.00	Professional		$950.67	$950.67	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $895.74	Facility		$640.00	$640.00	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.09 / $1,008.36 / $1,682.29	Professional		$778.09	$1,008.36	$1,682.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.09 / $970.36 / $1,143.40	Professional		$758.09	$970.36	$1,143.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $829.70 / $1,043.96 / $1,574.56	Facility		$829.70	$1,043.96	$1,574.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $987.00 / $1,113.00 / $1,634.00	Professional		$987.00	$1,113.00	$1,634.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $754.32 / $1,027.34 / $3,334.28	Facility		$754.32	$1,027.34	$3,334.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $754.32 / $1,027.34 / $3,334.28	Professional		$754.32	$1,027.34	$3,334.28
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 $608.28 / $980.11 / $1,463.98	Professional		$608.28	$980.11	$1,463.98