Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.60 / $5,412.00 / $10,767.00	Facility		$916.60	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.17 / $719.69 / $1,013.36	Professional		$565.17	$719.69	$1,013.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.58 / $831.79 / $1,175.47	Professional		$647.58	$831.79	$1,175.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $766.88 / $1,495.42 / $4,337.00	Professional		$766.88	$1,495.42	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.94 / $803.94 / $803.94	Facility		$803.94	$803.94	$803.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.11 / $841.15 / $1,359.11	Professional		$619.11	$841.15	$1,359.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.98 / $787.04 / $1,014.70	Professional		$668.98	$787.04	$1,014.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $624.16 / $862.49 / $1,316.55	Facility		$624.16	$862.49	$1,316.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $872.00 / $997.00 / $1,358.65	Professional		$872.00	$997.00	$1,358.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $571.52 / $891.08 / $9,210.00	Facility		$571.52	$891.08	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $571.52 / $891.08 / $9,210.00	Professional		$571.52	$891.08	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.59 / $675.18 / $1,324.62	Professional		$511.59	$675.18	$1,324.62