Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.33 / $5,091.00 / $14,112.00	Facility		$951.33	$5,091.00	$14,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.82 / $574.65 / $767.35	Professional		$481.82	$574.65	$767.35
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 $510.46 / $652.77 / $1,079.22	Professional		$510.46	$652.77	$1,079.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $595.04 / $642.65 / $6,433.00	Professional		$595.04	$642.65	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $623.07 / $640.00	Facility		$623.07	$623.07	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.19 / $724.19 / $1,190.99	Professional		$538.19	$724.19	$1,190.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.45 / $674.48 / $797.11	Professional		$526.45	$674.48	$797.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $568.54 / $720.71 / $1,102.78	Facility		$568.54	$720.71	$1,102.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $763.00 / $1,059.00	Professional		$674.00	$763.00	$1,059.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $528.04 / $698.76 / $2,555.23	Facility		$528.04	$698.76	$2,555.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $528.04 / $698.76 / $2,555.23	Professional		$528.04	$698.76	$2,555.23
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 $429.02 / $666.53 / $1,065.85	Professional		$429.02	$666.53	$1,065.85