Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.30 / $5,360.00 / $9,347.59	Facility		$1,176.30	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.34 / $711.39 / $923.00	Professional		$610.34	$711.39	$923.00
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 $630.32 / $806.04 / $1,332.62	Professional		$630.32	$806.04	$1,332.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $719.88 / $771.77 / $6,433.00	Professional		$719.88	$771.77	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.39 / $770.39 / $776.00	Facility		$770.39	$770.39	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.08 / $883.40 / $1,444.11	Professional		$658.08	$883.40	$1,444.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.08 / $835.49 / $987.40	Professional		$651.08	$835.49	$987.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $658.31 / $864.74 / $1,301.83	Facility		$658.31	$864.74	$1,301.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $818.00 / $936.00 / $1,292.00	Professional		$818.00	$936.00	$1,292.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $652.74 / $876.07 / $2,869.79	Facility		$652.74	$876.07	$2,869.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $652.74 / $876.07 / $2,869.79	Professional		$652.74	$876.07	$2,869.79
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 $541.88 / $840.61 / $1,271.39	Professional		$541.88	$840.61	$1,271.39