Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.68 / $4,771.00 / $9,539.00	Facility		$744.68	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.63 / $709.19 / $855.31	Professional		$618.63	$709.19	$855.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.21 / $672.82 / $1,112.36	Professional		$534.21	$672.82	$1,112.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $662.17 / $769.49 / $17,559.00	Professional		$662.17	$769.49	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $654.41	Facility		$640.00	$640.00	$654.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.26 / $886.80 / $1,330.99	Professional		$586.26	$886.80	$1,330.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.21 / $683.79 / $800.18	Professional		$534.21	$683.79	$800.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $671.10 / $884.52 / $1,265.96	Facility		$671.10	$884.52	$1,265.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $860.00 / $966.00 / $1,313.54	Professional		$860.00	$966.00	$1,313.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $635.58 / $874.00 / $3,087.16	Facility		$635.58	$874.00	$3,087.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $635.58 / $874.00 / $3,087.16	Professional		$635.58	$874.00	$3,087.16
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 $539.86 / $786.86 / $1,250.47	Professional		$539.86	$786.86	$1,250.47