Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.96 / $5,293.00 / $14,796.00	Facility		$851.96	$5,293.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.17 / $723.35 / $851.96	Professional		$491.17	$723.35	$851.96
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 $528.60 / $726.52 / $1,017.80	Professional		$528.60	$726.52	$1,017.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $828.82 / $828.82 / $1,665.93	Professional		$828.82	$828.82	$1,665.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $730.78 / $1,727.00	Facility		$610.00	$730.78	$1,727.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.57 / $829.20 / $1,492.42	Professional		$591.57	$829.20	$1,492.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.85 / $587.82 / $724.98	Professional		$489.85	$587.82	$724.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $591.01 / $814.85 / $1,297.54	Facility		$591.01	$814.85	$1,297.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $1,197.00 / $2,423.00	Professional		$888.00	$1,197.00	$2,423.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $464.78 / $713.78 / $1,410.65	Facility		$464.78	$713.78	$1,410.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $464.78 / $713.78 / $1,410.65	Professional		$464.78	$713.78	$1,410.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,164.00 / $14,968.00 / $31,849.00	Facility		$4,164.00	$14,968.00	$31,849.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.88 / $762.15 / $1,510.95	Professional		$362.88	$762.15	$1,510.95