Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.62 / $4,771.00 / $9,539.00	Facility		$834.62	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.56 / $834.62 / $1,061.69	Professional		$718.56	$834.62	$1,061.69
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 $712.37 / $910.97 / $1,287.74	Professional		$712.37	$910.97	$1,287.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $705.67 / $819.20 / $1,528.96	Professional		$705.67	$819.20	$1,528.96
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 $674.35 / $938.01 / $1,666.74	Professional		$674.35	$938.01	$1,666.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.86 / $885.54 / $1,230.08	Professional		$716.86	$885.54	$1,230.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $971.67 / $1,423.61	Facility		$767.64	$971.67	$1,423.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $925.00 / $1,053.00 / $1,782.17	Professional		$925.00	$1,053.00	$1,782.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $753.32 / $934.55 / $1,750.00	Facility		$753.32	$934.55	$1,750.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $753.32 / $934.55 / $1,750.00	Professional		$753.32	$934.55	$1,750.00
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 $595.63 / $882.36 / $1,471.96	Professional		$595.63	$882.36	$1,471.96