Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,633.00 / $8,294.00	Facility		$1,088.00	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.03 / $764.06 / $1,110.58	Professional		$655.03	$764.06	$1,110.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.83 / $865.39 / $1,430.74	Professional		$668.83	$865.39	$1,430.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $787.70 / $829.45 / $5,113.00	Professional		$787.70	$829.45	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $827.67	Facility		$572.00	$572.00	$827.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.51 / $882.91 / $1,573.23	Professional		$706.51	$882.91	$1,573.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.62 / $898.57 / $1,061.94	Professional		$699.62	$898.57	$1,061.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $699.62 / $912.11 / $1,358.61	Facility		$699.62	$912.11	$1,358.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $890.00 / $1,013.00 / $1,402.00	Professional		$890.00	$1,013.00	$1,402.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $685.35 / $899.89 / $3,062.04	Facility		$685.35	$899.89	$3,062.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $685.35 / $899.89 / $3,062.04	Professional		$685.35	$899.89	$3,062.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,817.85 / $6,145.00 / $12,739.00	Facility		$2,817.85	$6,145.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.44 / $877.35 / $1,388.20	Professional		$553.44	$877.35	$1,388.20