Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.79 / $5,388.00 / $11,024.00	Facility		$904.79	$5,388.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $904.79 / $1,143.23	Professional		$741.89	$904.79	$1,143.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $1,028.86 / $1,701.03	Professional		$794.49	$1,028.86	$1,701.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,062.85 / $1,062.85 / $4,039.00	Professional		$1,062.85	$1,062.85	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $976.05	Facility		$640.00	$640.00	$976.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.38 / $1,061.51 / $1,869.38	Professional		$823.38	$1,061.51	$1,869.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.38 / $1,063.40 / $1,256.75	Professional		$823.38	$1,063.40	$1,256.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $856.37 / $1,070.84 / $1,655.77	Facility		$856.37	$1,070.84	$1,655.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $999.00 / $1,136.00 / $1,613.00	Professional		$999.00	$1,136.00	$1,613.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.89 / $1,062.83 / $3,625.24	Facility		$812.89	$1,062.83	$3,625.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.89 / $1,062.83 / $3,625.24	Professional		$812.89	$1,062.83	$3,625.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.80 / $977.00 / $1,579.42	Professional		$635.80	$977.00	$1,579.42