Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.77 / $4,972.66 / $8,920.00	Facility		$884.77	$4,972.66	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.59 / $828.01 / $1,149.17	Professional		$717.59	$828.01	$1,149.17
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 $733.86 / $941.63 / $1,556.79	Professional		$733.86	$941.63	$1,556.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $860.45 / $897.72 / $9,951.00	Professional		$860.45	$897.72	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $899.46	Facility		$640.00	$640.00	$899.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.40 / $997.78 / $1,729.07	Professional		$759.40	$997.78	$1,729.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.45 / $972.10 / $1,147.93	Professional		$759.45	$972.10	$1,147.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $808.32 / $1,023.11 / $1,486.78	Facility		$808.32	$1,023.11	$1,486.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $981.00 / $1,105.00 / $1,532.00	Professional		$981.00	$1,105.00	$1,532.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $736.53 / $1,003.45 / $3,436.37	Facility		$736.53	$1,003.45	$3,436.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $736.53 / $1,003.45 / $3,436.37	Professional		$736.53	$1,003.45	$3,436.37
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.21 / $961.46 / $1,517.61	Professional		$605.21	$961.46	$1,517.61