Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.19 / $5,087.00 / $8,294.00	Facility		$840.19	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.22 / $788.13 / $1,054.67	Professional		$681.22	$788.13	$1,054.67
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 $700.08 / $895.25 / $1,480.11	Professional		$700.08	$895.25	$1,480.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $816.20 / $897.82 / $7,889.00	Professional		$816.20	$897.82	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $855.57	Facility		$640.00	$640.00	$855.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.46 / $952.38 / $1,639.66	Professional		$740.46	$952.38	$1,639.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.40 / $924.67 / $1,092.59	Professional		$722.40	$924.67	$1,092.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $782.60 / $991.58 / $1,475.46	Facility		$782.60	$991.58	$1,475.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $931.00 / $1,054.66 / $1,453.00	Professional		$931.00	$1,054.66	$1,453.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.18 / $959.78 / $3,258.60	Facility		$724.18	$959.78	$3,258.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.18 / $959.78 / $3,258.60	Professional		$724.18	$959.78	$3,258.60
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 $579.73 / $891.89 / $1,393.69	Professional		$579.73	$891.89	$1,393.69