Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.75 / $5,412.00 / $11,425.00	Facility		$874.75	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.86 / $867.98 / $1,103.46	Professional		$748.86	$867.98	$1,103.46
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 $767.52 / $987.22 / $1,632.17	Professional		$767.52	$987.22	$1,632.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $942.05 / $989.82 / $9,951.00	Professional		$942.05	$989.82	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $942.61	Facility		$640.00	$640.00	$942.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.90 / $1,050.63 / $1,801.26	Professional		$800.90	$1,050.63	$1,801.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.74 / $1,018.55 / $1,201.90	Professional		$795.74	$1,018.55	$1,201.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $843.02 / $1,073.55 / $1,600.79	Facility		$843.02	$1,073.55	$1,600.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,141.19 / $1,599.00	Professional		$960.00	$1,141.19	$1,599.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $798.19 / $1,046.31 / $3,579.92	Facility		$798.19	$1,046.31	$3,579.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $798.19 / $1,046.31 / $3,579.92	Professional		$798.19	$1,046.31	$3,579.92
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 $640.42 / $1,056.08 / $1,527.99	Professional		$640.42	$1,056.08	$1,527.99