Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $8,294.00	Facility		$1,088.00	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.61 / $786.73 / $1,053.67	Professional		$686.61	$786.73	$1,053.67
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 $699.17 / $894.08 / $1,478.18	Professional		$699.17	$894.08	$1,478.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $815.51 / $852.94 / $7,889.00	Professional		$815.51	$852.94	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $854.45	Facility		$572.00	$572.00	$854.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.47 / $998.56 / $1,638.12	Professional		$739.47	$998.56	$1,638.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.43 / $923.43 / $1,091.21	Professional		$721.43	$923.43	$1,091.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $786.73 / $989.87 / $1,439.72	Facility		$786.73	$989.87	$1,439.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,053.67 / $1,451.00	Professional		$930.00	$1,053.67	$1,451.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $961.68 / $3,188.43	Facility		$724.77	$961.68	$3,188.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $961.68 / $3,188.43	Professional		$724.77	$961.68	$3,188.43
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 $579.59 / $944.60 / $1,466.35	Professional		$579.59	$944.60	$1,466.35