Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,630.78 / $10,000.00	Facility		$912.01	$3,630.78	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,621.81	Professional		$707.95	$851.14	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $7,244.36	Facility		$3,388.44	$5,248.07	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,548.82	Professional		$741.31	$1,000.00	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,174.90	Professional		$776.25	$851.14	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,548.82	Professional		$588.84	$891.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,412.54	Professional		$707.95	$851.14	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $1,148.15	Professional		$851.14	$891.25	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,513.56	Facility		$724.44	$1,000.00	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,318.26	Professional		$645.65	$645.65	$1,318.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $2,187.76	Facility		$707.95	$912.01	$2,187.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $2,187.76	Professional		$707.95	$912.01	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,513.56	Professional		$588.84	$831.76	$1,513.56