Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.03 / $4,771.00 / $9,539.00	Facility		$691.03	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.03 / $691.03 / $858.51	Professional		$583.03	$691.03	$858.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,807.00 / $17,284.09 / $24,194.30	Facility		$7,807.00	$17,284.09	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.38 / $744.74 / $1,077.92	Professional		$582.38	$744.74	$1,077.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $708.90 / $716.11 / $1,396.41	Professional		$708.90	$716.11	$1,396.41
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 $589.11 / $807.13 / $1,361.56	Professional		$589.11	$807.13	$1,361.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.83 / $726.14 / $1,037.89	Professional		$587.83	$726.14	$1,037.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $653.08 / $825.25 / $1,264.58	Facility		$653.08	$825.25	$1,264.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $871.00 / $1,478.23	Professional		$775.00	$871.00	$1,478.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $631.24 / $805.32 / $1,435.00	Facility		$631.24	$805.32	$1,435.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $631.24 / $805.32 / $1,435.00	Professional		$631.24	$805.32	$1,435.00
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 $493.23 / $757.73 / $1,195.53	Professional		$493.23	$757.73	$1,195.53