Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.99 / $5,412.00 / $11,425.00	Facility		$986.99	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.85 / $911.74 / $1,238.58	Professional		$817.85	$911.74	$1,238.58
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 $812.26 / $1,038.70 / $1,717.28	Professional		$812.26	$1,038.70	$1,717.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,003.55 / $1,037.55 / $9,951.00	Professional		$1,003.55	$1,037.55	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $993.62	Facility		$640.00	$640.00	$993.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.72 / $1,216.08 / $1,926.77	Professional		$862.72	$1,216.08	$1,926.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.59 / $1,068.28 / $1,256.83	Professional		$834.59	$1,068.28	$1,256.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $911.74 / $1,199.25 / $1,787.36	Facility		$911.74	$1,199.25	$1,787.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,077.00 / $1,257.00 / $1,697.00	Professional		$1,077.00	$1,257.00	$1,697.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $871.44 / $1,179.79 / $3,829.50	Facility		$871.44	$1,179.79	$3,829.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $871.44 / $1,179.79 / $3,829.50	Professional		$871.44	$1,179.79	$3,829.50
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 $717.62 / $1,105.47 / $1,690.33	Professional		$717.62	$1,105.47	$1,690.33