Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.92 / $5,087.00 / $8,294.00	Facility		$832.92	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $777.81 / $1,041.98	Professional		$666.75	$777.81	$1,041.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.78 / $884.64 / $1,462.57	Professional		$691.78	$884.64	$1,462.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $806.40 / $843.77 / $17,559.00	Professional		$806.40	$843.77	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $844.78	Facility		$640.00	$640.00	$844.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.83 / $1,063.00 / $1,619.22	Professional		$732.83	$1,063.00	$1,619.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.26 / $912.97 / $1,078.58	Professional		$713.26	$912.97	$1,078.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $771.98 / $984.36 / $1,524.24	Facility		$771.98	$984.36	$1,524.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,098.83 / $1,435.00	Professional		$920.00	$1,098.83	$1,435.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $740.23 / $1,003.43 / $3,217.94	Facility		$740.23	$1,003.43	$3,217.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $740.23 / $1,003.43 / $3,217.94	Professional		$740.23	$1,003.43	$3,217.94
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,671.00 / $22,654.63	Facility		$6,423.00	$11,671.00	$22,654.63
United Facility/Professional Professional Modifier Low / Median / High Price $615.54 / $979.73 / $1,637.90	Professional		$615.54	$979.73	$1,637.90