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 $559.87 / $668.69 / $888.76	Professional		$559.87	$668.69	$888.76
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 $586.52 / $758.88 / $1,254.65	Professional		$586.52	$758.88	$1,254.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $667.64 / $725.25 / $1,261.83	Professional		$667.64	$725.25	$1,261.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $725.37	Facility		$572.00	$572.00	$725.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.99 / $797.33 / $1,384.56	Professional		$614.99	$797.33	$1,384.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.80 / $785.24 / $928.01	Professional		$612.80	$785.24	$928.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $656.01 / $831.98 / $1,239.59	Facility		$656.01	$831.98	$1,239.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $739.00 / $876.62 / $1,227.00	Professional		$739.00	$876.62	$1,227.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $590.62 / $799.54 / $2,694.61	Facility		$590.62	$799.54	$2,694.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $590.62 / $799.54 / $2,694.61	Professional		$590.62	$799.54	$2,694.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,187.00	Facility		$5,121.00	$8,621.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.98 / $754.55 / $1,217.99	Professional		$473.98	$754.55	$1,217.99