Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.53 / $5,282.00 / $10,637.11	Facility		$690.53	$5,282.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.19 / $667.43 / $792.13	Professional		$494.19	$667.43	$792.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.97 / $685.39 / $974.00	Professional		$535.97	$685.39	$974.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $625.83 / $636.58 / $1,755.45	Professional		$625.83	$636.58	$1,755.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,142.00 / $3,282.37	Facility		$610.00	$1,142.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.92 / $707.29 / $1,227.93	Professional		$516.92	$707.29	$1,227.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.14 / $691.43 / $905.32	Professional		$553.14	$691.43	$905.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $580.80 / $743.68 / $1,167.00	Facility		$580.80	$743.68	$1,167.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $664.00 / $793.00 / $1,233.00	Professional		$664.00	$793.00	$1,233.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $557.58 / $696.84 / $1,361.19	Facility		$557.58	$696.84	$1,361.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $557.58 / $696.84 / $1,361.19	Professional		$557.58	$696.84	$1,361.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.05 / $688.78 / $1,148.85	Professional		$457.05	$688.78	$1,148.85