Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.63 / $4,771.00 / $9,539.00	Facility		$703.63	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.75 / $703.63 / $874.27	Professional		$591.75	$703.63	$874.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,960.66 / $9,475.45 / $13,263.73	Facility		$5,960.66	$9,475.45	$13,263.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.60 / $756.53 / $1,077.45	Professional		$591.60	$756.53	$1,077.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $719.27 / $727.80 / $1,419.21	Professional		$719.27	$727.80	$1,419.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $925.00	Facility		$490.00	$610.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.92 / $803.83 / $1,382.30	Professional		$587.92	$803.83	$1,382.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.10 / $735.13 / $1,053.06	Professional		$595.10	$735.13	$1,053.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $657.27 / $832.79 / $1,267.29	Facility		$657.27	$832.79	$1,267.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $779.00 / $887.00 / $1,501.20	Professional		$779.00	$887.00	$1,501.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $800.99 / $1,457.06	Facility		$642.66	$800.99	$1,457.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $642.66 / $800.99 / $1,457.06	Professional		$642.66	$800.99	$1,457.06
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.48 / $749.63 / $1,215.55	Professional		$487.48	$749.63	$1,215.55