Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.30 / $7,192.00 / $15,742.00	Facility		$909.30	$7,192.00	$15,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $877.05 / $1,073.10	Professional		$744.09	$877.05	$1,073.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,531.00 / $17,046.58 / $23,861.81	Facility		$10,531.00	$17,046.58	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.22 / $918.44 / $1,343.31	Professional		$718.22	$918.44	$1,343.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $824.86 / $1,598.88	Professional		$794.00	$824.86	$1,598.88
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 $706.21 / $972.66 / $1,736.54	Professional		$706.21	$972.66	$1,736.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.77 / $891.60 / $1,273.71	Professional		$721.77	$891.60	$1,273.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $804.89 / $1,006.29 / $1,536.72	Facility		$804.89	$1,006.29	$1,536.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $956.55 / $1,090.00 / $1,796.14	Professional		$956.55	$1,090.00	$1,796.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $766.98 / $958.91 / $1,763.99	Facility		$766.98	$958.91	$1,763.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $766.98 / $958.91 / $1,763.99	Professional		$766.98	$958.91	$1,763.99
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.52 / $920.12 / $1,457.49	Professional		$602.52	$920.12	$1,457.49