Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.48 / $3,991.00 / $8,920.00	Facility		$765.48	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.52 / $765.48 / $929.93	Professional		$632.52	$765.48	$929.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.20 / $820.58 / $1,356.66	Professional		$634.20	$820.58	$1,356.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $692.63 / $745.62 / $9,951.00	Professional		$692.63	$745.62	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $781.03	Facility		$640.00	$640.00	$781.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.99 / $816.19 / $1,527.80	Professional		$607.99	$816.19	$1,527.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.54 / $830.23 / $981.18	Professional		$641.54	$830.23	$981.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $869.86 / $1,319.21	Facility		$654.00	$869.86	$1,319.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $766.50 / $905.00 / $1,262.00	Professional		$766.50	$905.00	$1,262.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $633.26 / $832.43 / $2,927.49	Facility		$633.26	$832.43	$2,927.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $633.26 / $832.43 / $2,927.49	Professional		$633.26	$832.43	$2,927.49
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.39 / $767.58 / $1,298.75	Professional		$486.39	$767.58	$1,298.75