Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.59 / $4,771.00 / $9,539.00	Facility		$880.59	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.88 / $802.43 / $1,037.01	Professional		$601.88	$802.43	$1,037.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,760.00 / $18,805.21 / $26,191.85	Facility		$8,760.00	$18,805.21	$26,191.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.12 / $924.34 / $1,528.21	Professional		$707.12	$924.34	$1,528.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $762.85 / $823.88 / $1,441.79	Professional		$762.85	$823.88	$1,441.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $883.01	Facility		$640.00	$640.00	$883.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.26 / $873.34 / $1,749.08	Professional		$672.26	$873.34	$1,749.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.47 / $952.92 / $1,122.24	Professional		$744.47	$952.92	$1,122.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.47 / $965.51 / $1,468.45	Facility		$744.47	$965.51	$1,468.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $943.35 / $1,452.00	Professional		$729.00	$943.35	$1,452.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $692.56 / $928.85 / $1,912.68	Facility		$692.56	$928.85	$1,912.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $692.56 / $928.85 / $1,912.68	Professional		$692.56	$928.85	$1,912.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.82 / $882.85 / $1,496.99	Professional		$564.82	$882.85	$1,496.99