Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.57 / $5,412.00 / $11,425.00	Facility		$750.57	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.29 / $699.25 / $940.18	Professional		$603.29	$699.25	$940.18
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 $615.07 / $795.83 / $1,315.74	Professional		$615.07	$795.83	$1,315.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $765.46 / $797.79 / $9,951.00	Professional		$765.46	$797.79	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $760.33	Facility		$640.00	$640.00	$760.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.27 / $842.23 / $1,460.96	Professional		$641.27	$842.23	$1,460.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.90 / $821.63 / $969.36	Professional		$641.90	$821.63	$969.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $686.96 / $878.17 / $1,279.63	Facility		$686.96	$878.17	$1,279.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $818.00 / $931.00 / $1,295.00	Professional		$818.00	$931.00	$1,295.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $602.91 / $834.48 / $3,134.81	Facility		$602.91	$834.48	$3,134.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $602.91 / $834.48 / $3,134.81	Professional		$602.91	$834.48	$3,134.81
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 $512.65 / $793.35 / $1,307.26	Professional		$512.65	$793.35	$1,307.26