Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.73 / $5,412.00 / $11,425.00	Facility		$808.73	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.14 / $756.55 / $1,012.09	Professional		$602.14	$756.55	$1,012.09
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 $672.12 / $859.49 / $1,420.99	Professional		$672.12	$859.49	$1,420.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.05 / $863.27 / $9,951.00	Professional		$776.05	$863.27	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $820.59	Facility		$640.00	$640.00	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.02 / $898.62 / $1,573.55	Professional		$680.02	$898.62	$1,573.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.03 / $887.08 / $1,048.14	Professional		$693.03	$887.08	$1,048.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $703.24 / $911.15 / $1,355.17	Facility		$703.24	$911.15	$1,355.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $989.00 / $1,343.00	Professional		$893.00	$989.00	$1,343.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $652.72 / $870.58 / $3,376.56	Facility		$652.72	$870.58	$3,376.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $652.72 / $870.58 / $3,376.56	Professional		$652.72	$870.58	$3,376.56
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 $563.67 / $881.33 / $1,387.71	Professional		$563.67	$881.33	$1,387.71