Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.77 / $5,040.00 / $10,637.11	Facility		$1,091.77	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.59 / $660.20 / $875.06	Professional		$559.59	$660.20	$875.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.66 / $749.45 / $1,239.06	Professional		$585.66	$749.45	$1,239.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $679.67 / $717.23 / $7,889.00	Professional		$679.67	$717.23	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.07 / $716.07 / $900.00	Facility		$716.07	$716.07	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.05 / $811.63 / $1,362.63	Professional		$611.05	$811.63	$1,362.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.19 / $776.23 / $917.36	Professional		$605.19	$776.23	$917.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $806.53 / $1,208.17	Facility		$630.00	$806.53	$1,208.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $870.00 / $1,210.00	Professional		$766.00	$870.00	$1,210.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $606.80 / $786.76 / $2,707.75	Facility		$606.80	$786.76	$2,707.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $606.80 / $786.76 / $2,707.75	Professional		$606.80	$786.76	$2,707.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.00 / $764.73 / $1,200.36	Professional		$487.00	$764.73	$1,200.36