Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.94 / $4,771.00 / $9,539.00	Facility		$784.94	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.97 / $738.98 / $936.32	Professional		$649.97	$738.98	$936.32
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 $657.05 / $840.23 / $1,389.15	Professional		$657.05	$840.23	$1,389.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $839.25 / $839.25 / $17,559.00	Professional		$839.25	$839.25	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $801.63	Facility		$640.00	$640.00	$801.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.16 / $976.61 / $1,537.85	Professional		$690.16	$976.61	$1,537.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.98 / $866.53 / $1,023.75	Professional		$676.98	$866.53	$1,023.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $738.98 / $930.76 / $1,433.72	Facility		$738.98	$930.76	$1,433.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $873.00 / $1,002.00 / $1,362.00	Professional		$873.00	$1,002.00	$1,362.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $667.41 / $930.10 / $3,299.88	Facility		$667.41	$930.10	$3,299.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $667.41 / $930.10 / $3,299.88	Professional		$667.41	$930.10	$3,299.88
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 $570.48 / $912.77 / $1,381.15	Professional		$570.48	$912.77	$1,381.15