Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.68 / $7,598.00 / $15,165.00	Facility		$765.68	$7,598.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.89 / $728.58 / $900.10	Professional		$625.89	$728.58	$900.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.80 / $773.42 / $1,101.51	Professional		$604.80	$773.42	$1,101.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $733.27 / $757.51 / $1,552.90	Professional		$733.27	$757.51	$1,552.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $742.94 / $7,895.90	Facility		$490.00	$742.94	$7,895.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.23 / $856.10 / $1,474.20	Professional		$629.23	$856.10	$1,474.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.26 / $741.07 / $913.99	Professional		$610.26	$741.07	$913.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $665.07 / $872.27 / $1,220.74	Facility		$665.07	$872.27	$1,220.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $811.00 / $895.00 / $1,217.00	Professional		$811.00	$895.00	$1,217.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $672.42 / $863.83 / $1,527.68	Facility		$672.42	$863.83	$1,527.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $672.42 / $863.83 / $1,527.68	Professional		$672.42	$863.83	$1,527.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.29 / $807.43 / $1,276.47	Professional		$538.29	$807.43	$1,276.47