Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.03 / $3,991.00 / $8,920.00	Facility		$815.03	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.94 / $815.03 / $1,008.86	Professional		$686.94	$815.03	$1,008.86
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 $722.84 / $925.12 / $1,315.80	Professional		$722.84	$925.12	$1,315.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $694.13 / $832.78 / $1,503.94	Professional		$694.13	$832.78	$1,503.94
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 $683.65 / $934.89 / $1,633.79	Professional		$683.65	$934.89	$1,633.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.66 / $900.11 / $1,250.74	Professional		$728.66	$900.11	$1,250.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.94 / $965.30 / $1,447.35	Facility		$758.94	$965.30	$1,447.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $1,028.00 / $1,795.00	Professional		$903.00	$1,028.00	$1,795.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $740.23 / $925.29 / $1,626.72	Facility		$740.23	$925.29	$1,626.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $740.23 / $925.29 / $1,626.72	Professional		$740.23	$925.29	$1,626.72
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.72 / $847.64 / $1,333.71	Professional		$569.72	$847.64	$1,333.71