Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.14 / $5,636.00 / $11,425.00	Facility		$600.14	$5,636.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.03 / $579.85 / $1,052.44	Professional		$520.03	$579.85	$1,052.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $20,977.18 / $29,216.95	Facility		$4,112.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.11 / $622.91 / $1,029.84	Professional		$487.11	$622.91	$1,029.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $580.23 / $626.65 / $1,131.45	Professional		$580.23	$626.65	$1,131.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.54 / $607.54 / $640.00	Facility		$607.54	$607.54	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.29 / $750.99 / $1,164.02	Professional		$523.29	$750.99	$1,164.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.10 / $632.45 / $738.70	Professional		$494.10	$632.45	$738.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $547.05 / $766.11 / $1,098.26	Facility		$547.05	$766.11	$1,098.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $780.55 / $1,074.00	Professional		$687.00	$780.55	$1,074.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $537.36 / $742.87 / $2,522.63	Facility		$537.36	$742.87	$2,522.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $537.36 / $742.87 / $2,522.63	Professional		$537.36	$742.87	$2,522.63
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 $441.18 / $692.87 / $1,018.03	Professional		$441.18	$692.87	$1,018.03