Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.39 / $7,598.00 / $15,165.00	Facility		$772.39	$7,598.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.08 / $736.34 / $907.06	Professional		$631.08	$736.34	$907.06
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 $610.35 / $780.50 / $1,109.16	Professional		$610.35	$780.50	$1,109.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $696.42 / $703.39 / $1,358.02	Professional		$696.42	$703.39	$1,358.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $685.00 / $1,142.00	Facility		$610.00	$685.00	$1,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.74 / $812.91 / $1,480.82	Professional		$605.74	$812.91	$1,480.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.16 / $761.13 / $1,083.08	Professional		$616.16	$761.13	$1,083.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $673.15 / $848.32 / $1,294.30	Facility		$673.15	$848.32	$1,294.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $796.95 / $919.00 / $1,528.06	Professional		$796.95	$919.00	$1,528.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $646.72 / $801.65 / $1,540.36	Facility		$646.72	$801.65	$1,540.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $646.72 / $801.65 / $1,540.36	Professional		$646.72	$801.65	$1,540.36
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 $508.40 / $769.76 / $1,288.73	Professional		$508.40	$769.76	$1,288.73