Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.98 / $5,048.00 / $8,294.00	Facility		$821.98	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $776.10 / $1,186.33	Professional		$670.72	$776.10	$1,186.33
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 $681.89 / $882.29 / $1,458.69	Professional		$681.89	$882.29	$1,458.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $804.57 / $841.53 / $7,889.00	Professional		$804.57	$841.53	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $842.17	Facility		$640.00	$640.00	$842.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.15 / $943.12 / $1,616.15	Professional		$726.15	$943.12	$1,616.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.17 / $910.30 / $1,075.27	Professional		$711.17	$910.30	$1,075.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $769.87 / $976.55 / $1,411.00	Facility		$769.87	$976.55	$1,411.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $1,033.45 / $1,432.00	Professional		$903.00	$1,033.45	$1,432.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $713.64 / $925.91 / $3,211.84	Facility		$713.64	$925.91	$3,211.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $713.64 / $925.91 / $3,211.84	Professional		$713.64	$925.91	$3,211.84
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 $568.53 / $898.55 / $1,447.29	Professional		$568.53	$898.55	$1,447.29