Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.19 / $4,771.00 / $9,539.00	Facility		$778.19	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.28 / $778.19 / $1,029.63	Professional		$661.28	$778.19	$1,029.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.11 / $817.44 / $1,155.53	Professional		$635.11	$817.44	$1,155.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $768.40 / $772.50 / $1,498.38	Professional		$768.40	$772.50	$1,498.38
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 $611.55 / $852.77 / $1,481.38	Professional		$611.55	$852.77	$1,481.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.07 / $821.56 / $1,150.58	Professional		$665.07	$821.56	$1,150.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $706.21 / $905.64 / $1,333.18	Facility		$706.21	$905.64	$1,333.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $859.00 / $965.00 / $1,603.61	Professional		$859.00	$965.00	$1,603.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.65 / $851.06 / $1,605.59	Facility		$676.65	$851.06	$1,605.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.65 / $851.06 / $1,605.59	Professional		$676.65	$851.06	$1,605.59
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 $531.46 / $790.70 / $1,321.78	Professional		$531.46	$790.70	$1,321.78