Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.57 / $7,598.00 / $15,165.00	Facility		$898.57	$7,598.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.17 / $864.97 / $1,058.15	Professional		$735.17	$864.97	$1,058.15
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 $710.22 / $908.22 / $1,293.49	Professional		$710.22	$908.22	$1,293.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $811.35 / $816.96 / $1,630.81	Professional		$811.35	$816.96	$1,630.81
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 $692.76 / $952.61 / $1,719.93	Professional		$692.76	$952.61	$1,719.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.92 / $883.13 / $1,261.61	Professional		$714.92	$883.13	$1,261.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $787.16 / $990.70 / $1,518.58	Facility		$787.16	$990.70	$1,518.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $946.58 / $1,076.00 / $1,776.89	Professional		$946.58	$1,076.00	$1,776.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $757.15 / $949.43 / $1,794.62	Facility		$757.15	$949.43	$1,794.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $757.15 / $949.43 / $1,794.62	Professional		$757.15	$949.43	$1,794.62
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 $593.37 / $894.83 / $1,438.43	Professional		$593.37	$894.83	$1,438.43