Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.34 / $5,636.00 / $14,796.00	Facility		$895.34	$5,636.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.41 / $837.44 / $1,126.08	Professional		$715.41	$837.44	$1,126.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $27,843.00 / $30,195.00	Facility		$21,861.00	$27,843.00	$30,195.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.95 / $952.24 / $1,574.33	Professional		$735.95	$952.24	$1,574.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.06 / $939.66 / $9,951.00	Professional		$870.06	$939.66	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $909.50	Facility		$900.00	$900.00	$909.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.58 / $998.41 / $1,749.60	Professional		$767.58	$998.41	$1,749.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.86 / $982.86 / $1,160.29	Professional		$767.86	$982.86	$1,160.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $832.98 / $1,034.35 / $1,567.77	Facility		$832.98	$1,034.35	$1,567.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $952.09 / $1,124.00 / $1,549.00	Professional		$952.09	$1,124.00	$1,549.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $739.96 / $1,005.56 / $3,477.19	Facility		$739.96	$1,005.56	$3,477.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $1,005.56 / $3,477.19	Professional		$739.96	$1,005.56	$3,477.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $29,685.00	Facility		$6,423.00	$11,475.00	$29,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.34 / $925.45 / $1,523.34	Professional		$609.34	$925.45	$1,523.34