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 $717.94 / $865.61 / $1,693.69	Professional		$717.94	$865.61	$1,693.69
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 $757.21 / $979.75 / $1,619.82	Professional		$757.21	$979.75	$1,619.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $887.78 / $939.60 / $5,113.00	Professional		$887.78	$939.60	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $936.28	Facility		$572.00	$572.00	$936.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.56 / $1,000.26 / $1,774.76	Professional		$791.56	$1,000.26	$1,774.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.56 / $1,017.04 / $1,201.95	Professional		$791.56	$1,017.04	$1,201.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $760.97 / $1,024.88 / $1,534.94	Facility		$760.97	$1,024.88	$1,534.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $986.00 / $1,137.00 / $1,579.00	Professional		$986.00	$1,137.00	$1,579.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $753.98 / $1,014.08 / $3,512.00	Facility		$753.98	$1,014.08	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $753.98 / $1,014.08 / $3,512.00	Professional		$753.98	$1,014.08	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.24 / $970.79 / $1,536.68	Professional		$624.24	$970.79	$1,536.68