Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.99 / $5,293.00 / $14,796.00	Facility		$751.99	$5,293.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $680.42 / $751.99	Professional		$412.89	$680.42	$751.99
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 $461.45 / $620.01 / $867.08	Professional		$461.45	$620.01	$867.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $274.17 / $274.17 / $551.08	Professional		$274.17	$274.17	$551.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $649.17 / $1,727.00	Facility		$610.00	$649.17	$1,727.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.13 / $768.10 / $1,397.09	Professional		$560.13	$768.10	$1,397.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.61 / $617.53 / $761.62	Professional		$514.61	$617.53	$761.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $567.24 / $751.99 / $1,149.91	Facility		$567.24	$751.99	$1,149.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $1,063.00 / $2,423.00	Professional		$830.00	$1,063.00	$2,423.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $353.12 / $688.35 / $1,357.28	Facility		$353.12	$688.35	$1,357.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $353.12 / $688.35 / $1,357.28	Professional		$353.12	$688.35	$1,357.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.56 / $555.03 / $1,603.93	Professional		$305.56	$555.03	$1,603.93