Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.94 / $5,412.00 / $11,024.00	Facility		$804.94	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.87 / $754.36 / $943.95	Professional		$656.87	$754.36	$943.95
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 $650.60 / $841.81 / $1,391.76	Professional		$650.60	$841.81	$1,391.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $863.90 / $863.90 / $4,646.00	Professional		$863.90	$863.90	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $804.98	Facility		$640.00	$640.00	$804.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.31 / $871.71 / $1,578.51	Professional		$680.31	$871.71	$1,578.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.99 / $874.07 / $1,032.99	Professional		$681.99	$874.07	$1,032.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $745.88 / $933.81 / $1,410.00	Facility		$745.88	$933.81	$1,410.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $979.00 / $1,369.35	Professional		$850.00	$979.00	$1,369.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $646.44 / $885.76 / $3,136.96	Facility		$646.44	$885.76	$3,136.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $646.44 / $885.76 / $3,136.96	Professional		$646.44	$885.76	$3,136.96
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 $547.20 / $852.49 / $1,399.07	Professional		$547.20	$852.49	$1,399.07