Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.20 / $5,412.00 / $13,209.00	Facility		$524.20	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.60 / $565.27 / $917.96	Professional		$518.60	$565.27	$917.96
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 $524.19 / $664.73 / $939.77	Professional		$524.19	$664.73	$939.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $678.89 / $1,323.84 / $6,694.00	Professional		$678.89	$1,323.84	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $808.26 / $808.26 / $808.26	Facility		$808.26	$808.26	$808.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.67 / $860.07 / $1,374.69	Professional		$609.67	$860.07	$1,374.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.93 / $785.80 / $999.71	Professional		$667.93	$785.80	$999.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.20 / $917.96 / $1,266.78	Facility		$524.20	$917.96	$1,266.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $985.00 / $1,239.39 / $1,671.62	Professional		$985.00	$1,239.39	$1,671.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $685.15 / $1,116.27 / $13,746.00	Facility		$685.15	$1,116.27	$13,746.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $685.15 / $1,116.27 / $13,746.00	Professional		$685.15	$1,116.27	$13,746.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.38 / $658.78 / $1,219.50	Professional		$481.38	$658.78	$1,219.50