Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.56 / $5,048.00 / $10,767.00	Facility		$810.56	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $810.56 / $838.03	Professional		$548.12	$810.56	$838.03
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 $556.69 / $789.05 / $1,106.52	Professional		$556.69	$789.05	$1,106.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $231.52 / $231.52	Professional		$231.52	$231.52	$231.52
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 $619.38 / $944.84 / $1,705.88	Professional		$619.38	$944.84	$1,705.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.48 / $790.62 / $975.10	Professional		$651.48	$790.62	$975.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $682.03 / $891.62 / $1,337.42	Facility		$682.03	$891.62	$1,337.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $970.90 / $1,308.00 / $2,423.00	Professional		$970.90	$1,308.00	$2,423.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $666.62 / $848.86 / $1,612.55	Facility		$666.62	$848.86	$1,612.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $666.62 / $848.86 / $1,612.55	Professional		$666.62	$848.86	$1,612.55
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $6,380.00	Facility		$327.00	$2,397.00	$6,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.47 / $870.83 / $1,465.94	Professional		$520.47	$870.83	$1,465.94