Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.87 / $4,771.00 / $9,539.00	Facility		$788.87	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.74 / $775.31 / $980.38	Professional		$635.74	$775.31	$980.38
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 $674.01 / $872.85 / $1,443.08	Professional		$674.01	$872.85	$1,443.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $883.15 / $883.15 / $9,951.00	Professional		$883.15	$883.15	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $831.01	Facility		$640.00	$640.00	$831.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.49 / $895.91 / $1,564.06	Professional		$702.49	$895.91	$1,564.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.46 / $902.53 / $1,066.61	Professional		$702.46	$902.53	$1,066.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $736.18 / $922.98 / $1,340.61	Facility		$736.18	$922.98	$1,340.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $865.00 / $991.00 / $1,366.00	Professional		$865.00	$991.00	$1,366.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $677.72 / $893.97 / $3,356.14	Facility		$677.72	$893.97	$3,356.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $677.72 / $893.97 / $3,356.14	Professional		$677.72	$893.97	$3,356.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $26,537.00	Facility		$7,408.00	$13,024.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.21 / $842.99 / $1,373.95	Professional		$550.21	$842.99	$1,373.95