Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.51 / $5,087.00 / $8,294.00	Facility		$871.51	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.20 / $819.64 / $1,101.13	Professional		$711.20	$819.64	$1,101.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.53 / $931.80 / $1,540.54	Professional		$723.53	$931.80	$1,540.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $824.64 / $907.10 / $15,406.00	Professional		$824.64	$907.10	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $890.16	Facility		$640.00	$640.00	$890.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.26 / $1,010.88 / $1,712.34	Professional		$770.26	$1,010.88	$1,712.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.47 / $961.88 / $1,135.58	Professional		$751.47	$961.88	$1,135.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $813.82 / $1,032.46 / $1,534.45	Facility		$813.82	$1,032.46	$1,534.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $951.00 / $1,101.11 / $1,516.00	Professional		$951.00	$1,101.11	$1,516.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $757.95 / $987.71 / $3,403.13	Facility		$757.95	$987.71	$3,403.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $757.95 / $987.71 / $3,403.13	Professional		$757.95	$987.71	$3,403.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.91 / $963.79 / $1,569.68	Professional		$604.91	$963.79	$1,569.68