Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.01 / $5,087.00 / $8,294.00	Facility		$775.01	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $733.91 / $1,060.50	Professional		$633.66	$733.91	$1,060.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.91 / $833.16 / $1,377.46	Professional		$643.91	$833.16	$1,377.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $759.04 / $795.74 / $9,951.00	Professional		$759.04	$795.74	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $796.05	Facility		$640.00	$640.00	$796.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.14 / $915.92 / $1,522.76	Professional		$685.14	$915.92	$1,522.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.42 / $861.19 / $1,017.77	Professional		$672.42	$861.19	$1,017.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $727.48 / $922.38 / $1,315.49	Facility		$727.48	$922.38	$1,315.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $978.39 / $1,350.00	Professional		$850.00	$978.39	$1,350.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $674.22 / $883.66 / $3,026.14	Facility		$674.22	$883.66	$3,026.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $674.22 / $883.66 / $3,026.14	Professional		$674.22	$883.66	$3,026.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.67 / $834.62 / $1,318.49	Professional		$535.67	$834.62	$1,318.49