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 $615.58 / $730.42 / $950.48	Professional		$615.58	$730.42	$950.48
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 $637.90 / $826.09 / $1,365.77	Professional		$637.90	$826.09	$1,365.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $740.23 / $792.47 / $9,951.00	Professional		$740.23	$792.47	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $789.73	Facility		$572.00	$572.00	$789.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.88 / $844.04 / $1,490.55	Professional		$670.88	$844.04	$1,490.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.79 / $858.11 / $1,014.13	Professional		$667.79	$858.11	$1,014.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $692.10 / $892.60 / $1,292.92	Facility		$692.10	$892.60	$1,292.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $954.30 / $1,317.00	Professional		$837.00	$954.30	$1,317.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $629.16 / $858.30 / $2,901.02	Facility		$629.16	$858.30	$2,901.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $629.16 / $858.30 / $2,901.02	Professional		$629.16	$858.30	$2,901.02
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 $524.35 / $815.20 / $1,315.90	Professional		$524.35	$815.20	$1,315.90