Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.03 / $4,771.00 / $9,539.00	Facility		$760.03	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.40 / $757.46 / $948.53	Professional		$585.40	$757.46	$948.53
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 $658.53 / $852.81 / $1,409.95	Professional		$658.53	$852.81	$1,409.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $863.49 / $863.49 / $9,951.00	Professional		$863.49	$863.49	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $810.92	Facility		$640.00	$640.00	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.48 / $866.73 / $1,526.54	Professional		$680.48	$866.73	$1,526.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.67 / $880.74 / $1,040.86	Professional		$685.67	$880.74	$1,040.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $715.84 / $901.38 / $1,340.69	Facility		$715.84	$901.38	$1,340.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $828.00 / $967.00 / $1,334.00	Professional		$828.00	$967.00	$1,334.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $637.04 / $863.64 / $3,274.84	Facility		$637.04	$863.64	$3,274.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $637.04 / $863.64 / $3,274.84	Professional		$637.04	$863.64	$3,274.84
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 $536.89 / $842.72 / $1,308.64	Professional		$536.89	$842.72	$1,308.64