Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.80 / $5,636.00 / $11,024.00	Facility		$787.80	$5,636.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.98 / $742.48 / $926.36	Professional		$640.98	$742.48	$926.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.72 / $795.04 / $1,132.29	Professional		$621.72	$795.04	$1,132.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $753.49 / $768.66 / $1,568.07	Professional		$753.49	$768.66	$1,568.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $764.02 / $3,218.20	Facility		$490.00	$764.02	$3,218.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.70 / $870.17 / $1,509.44	Professional		$633.70	$870.17	$1,509.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $626.32 / $760.93 / $938.48	Professional		$626.32	$760.93	$938.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $678.91 / $889.02 / $1,244.72	Facility		$678.91	$889.02	$1,244.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $820.00 / $898.00 / $1,254.00	Professional		$820.00	$898.00	$1,254.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $690.41 / $873.85 / $1,572.88	Facility		$690.41	$873.85	$1,572.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $690.41 / $873.85 / $1,572.88	Professional		$690.41	$873.85	$1,572.88
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 $554.42 / $847.89 / $1,300.69	Professional		$554.42	$847.89	$1,300.69