Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.38 / $5,282.00 / $9,347.59	Facility		$695.38	$5,282.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $663.34 / $965.58	Professional		$570.29	$663.34	$965.58
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 $588.22 / $752.20 / $1,243.60	Professional		$588.22	$752.20	$1,243.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $682.59 / $719.45 / $9,951.00	Professional		$682.59	$719.45	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.05 / $719.05 / $776.00	Facility		$719.05	$719.05	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.29 / $792.23 / $1,369.44	Professional		$619.29	$792.23	$1,369.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.51 / $779.01 / $920.65	Professional		$607.51	$779.01	$920.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $655.41 / $830.75 / $1,232.00	Facility		$655.41	$830.75	$1,232.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $771.00 / $881.00 / $1,215.00	Professional		$771.00	$881.00	$1,215.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $607.52 / $789.78 / $2,721.31	Facility		$607.52	$789.78	$2,721.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $607.52 / $789.78 / $2,721.31	Professional		$607.52	$789.78	$2,721.31
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 $488.10 / $764.10 / $1,205.63	Professional		$488.10	$764.10	$1,205.63