Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.20 / $4,771.00 / $9,539.00	Facility		$779.20	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.57 / $779.20 / $958.04	Professional		$627.57	$779.20	$958.04
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 $644.15 / $823.73 / $1,164.42	Professional		$644.15	$823.73	$1,164.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $766.28 / $780.41 / $1,540.22	Professional		$766.28	$780.41	$1,540.22
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 $623.98 / $848.19 / $1,504.20	Professional		$623.98	$848.19	$1,504.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.84 / $802.75 / $1,135.34	Professional		$649.84	$802.75	$1,135.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $710.19 / $891.63 / $1,329.13	Facility		$710.19	$891.63	$1,329.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $807.00 / $948.92 / $1,612.34	Professional		$807.00	$948.92	$1,612.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $690.61 / $845.78 / $1,620.21	Facility		$690.61	$845.78	$1,620.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $690.61 / $845.78 / $1,620.21	Professional		$690.61	$845.78	$1,620.21
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 $536.29 / $829.48 / $1,435.15	Professional		$536.29	$829.48	$1,435.15