Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.06 / $4,771.00 / $9,539.00	Facility		$799.06	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.83 / $754.77 / $953.87	Professional		$675.83	$754.77	$953.87
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 $670.89 / $857.92 / $1,418.39	Professional		$670.89	$857.92	$1,418.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $855.15 / $855.15 / $17,559.00	Professional		$855.15	$855.15	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $823.20	Facility		$640.00	$640.00	$823.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.66 / $988.84 / $1,558.72	Professional		$710.66	$988.84	$1,558.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.97 / $890.84 / $1,052.79	Professional		$695.97	$890.84	$1,052.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $754.77 / $947.12 / $1,439.45	Facility		$754.77	$947.12	$1,439.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $881.00 / $1,009.00 / $1,381.00	Professional		$881.00	$1,009.00	$1,381.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $706.88 / $950.15 / $3,344.70	Facility		$706.88	$950.15	$3,344.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $706.88 / $950.15 / $3,344.70	Professional		$706.88	$950.15	$3,344.70
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 $584.89 / $924.15 / $1,374.97	Professional		$584.89	$924.15	$1,374.97