Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.40 / $3,991.00 / $9,539.00	Facility		$828.40	$3,991.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $773.97 / $1,042.95	Professional		$663.42	$773.97	$1,042.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.56 / $883.07 / $1,459.97	Professional		$690.56	$883.07	$1,459.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $880.23 / $880.23 / $17,559.00	Professional		$880.23	$880.23	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $871.93	Facility		$640.00	$640.00	$871.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.16 / $958.07 / $1,617.78	Professional		$731.16	$958.07	$1,617.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.44 / $943.46 / $1,115.00	Professional		$736.44	$943.46	$1,115.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $769.78 / $966.17 / $1,386.42	Facility		$769.78	$966.17	$1,386.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $1,036.45 / $1,426.00	Professional		$909.00	$1,036.45	$1,426.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $713.94 / $929.23 / $3,442.00	Facility		$713.94	$929.23	$3,442.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $713.94 / $929.23 / $3,442.00	Professional		$713.94	$929.23	$3,442.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $26,537.00	Facility		$7,408.00	$13,024.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.41 / $879.40 / $1,400.76	Professional		$551.41	$879.40	$1,400.76