Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.45 / $5,412.00 / $11,024.00	Facility		$805.45	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.34 / $759.93 / $904.20	Professional		$656.34	$759.93	$904.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $17,371.00 / $24,194.30	Facility		$7,142.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.90 / $816.26 / $1,349.52	Professional		$633.90	$816.26	$1,349.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $839.62 / $839.62 / $6,433.00	Professional		$839.62	$839.62	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $778.94	Facility		$640.00	$640.00	$778.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.16 / $909.93 / $1,519.98	Professional		$659.16	$909.93	$1,519.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.47 / $851.80 / $1,003.99	Professional		$665.47	$851.80	$1,003.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $715.34 / $936.93 / $1,369.27	Facility		$715.34	$936.93	$1,369.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,044.05 / $1,473.00	Professional		$900.00	$1,044.05	$1,473.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $637.04 / $906.56 / $3,020.59	Facility		$637.04	$906.56	$3,020.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $643.47 / $906.56 / $3,020.59	Professional		$643.47	$906.56	$3,020.59
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 $567.89 / $856.68 / $1,339.88	Professional		$567.89	$856.68	$1,339.88