Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.52 / $5,328.00 / $10,767.00	Facility		$571.52	$5,328.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.97 / $551.37 / $694.62	Professional		$498.97	$551.37	$694.62
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 $489.57 / $626.04 / $1,035.04	Professional		$489.57	$626.04	$1,035.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $568.96 / $625.86 / $7,889.00	Professional		$568.96	$625.86	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $1,200.00	Facility		$594.91	$594.91	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.52 / $669.44 / $1,114.72	Professional		$510.52	$669.44	$1,114.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.79 / $646.13 / $758.62	Professional		$504.79	$646.13	$758.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $545.88 / $689.65 / $1,058.58	Facility		$545.88	$689.65	$1,058.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $760.00 / $1,054.00	Professional		$674.00	$760.00	$1,054.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $490.72 / $673.48 / $2,214.85	Facility		$490.72	$673.48	$2,214.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $490.72 / $673.75 / $2,214.85	Professional		$490.72	$673.75	$2,214.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.80 / $630.99 / $965.18	Professional		$394.80	$630.99	$965.18