Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.60 / $5,412.00 / $11,425.00	Facility		$801.60	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.96 / $782.42 / $956.03	Professional		$696.96	$782.42	$956.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.22 / $837.88 / $1,385.26	Professional		$655.22	$837.88	$1,385.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $779.12 / $784.43 / $1,472.54	Professional		$779.12	$784.43	$1,472.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $813.77	Facility		$640.00	$640.00	$813.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.21 / $982.97 / $1,567.22	Professional		$707.21	$982.97	$1,567.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $852.15 / $997.97	Professional		$665.74	$852.15	$997.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $727.17 / $1,020.22 / $1,517.50	Facility		$727.17	$1,020.22	$1,517.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $939.00 / $1,102.00 / $1,564.85	Professional		$939.00	$1,102.00	$1,564.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $720.60 / $1,013.66 / $3,363.05	Facility		$720.60	$1,013.66	$3,363.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $720.60 / $1,013.66 / $3,363.05	Professional		$720.60	$1,013.66	$3,363.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.07 / $923.54 / $1,396.14	Professional		$588.07	$923.54	$1,396.14