Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.63 / $5,360.00 / $9,975.00	Facility		$828.63	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.00 / $650.01 / $922.54	Professional		$509.00	$650.01	$922.54
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 $585.65 / $752.23 / $1,063.05	Professional		$585.65	$752.23	$1,063.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $696.94 / $1,364.82 / $6,694.00	Professional		$696.94	$1,364.82	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.25 / $726.25 / $726.25	Facility		$726.25	$726.25	$726.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.23 / $776.37 / $1,230.83	Professional		$578.23	$776.37	$1,230.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.29 / $713.28 / $918.31	Professional		$606.29	$713.28	$918.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $568.30 / $788.83 / $1,243.58	Facility		$568.30	$788.83	$1,243.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $910.00 / $1,226.26	Professional		$795.00	$910.00	$1,226.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $558.44 / $816.97 / $9,210.00	Facility		$558.44	$816.97	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $558.44 / $816.97 / $9,210.00	Professional		$558.44	$816.97	$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 $465.22 / $624.72 / $1,089.88	Professional		$465.22	$624.72	$1,089.88