Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.10 / $4,771.00 / $9,539.00	Facility		$869.10	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.67 / $811.25 / $1,031.04	Professional		$698.67	$811.25	$1,031.04
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 $721.20 / $923.16 / $1,526.26	Professional		$721.20	$923.16	$1,526.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $921.76 / $921.76 / $9,951.00	Professional		$921.76	$921.76	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $881.60	Facility		$640.00	$640.00	$881.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.87 / $982.95 / $1,697.90	Professional		$755.87	$982.95	$1,697.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.21 / $952.59 / $1,124.23	Professional		$744.21	$952.59	$1,124.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $804.00 / $1,012.76 / $1,458.82	Facility		$804.00	$1,012.76	$1,458.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $945.00 / $1,085.36 / $1,502.00	Professional		$945.00	$1,085.36	$1,502.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $746.47 / $969.67 / $3,442.00	Facility		$746.47	$969.67	$3,442.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $746.47 / $969.67 / $3,442.00	Professional		$746.47	$969.67	$3,442.00
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 $597.29 / $929.28 / $1,441.40	Professional		$597.29	$929.28	$1,441.40