Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.73 / $3,645.00 / $8,294.00	Facility		$914.73	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.80 / $554.53 / $727.74	Professional		$504.80	$554.53	$727.74
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 $491.41 / $628.41 / $1,038.95	Professional		$491.41	$628.41	$1,038.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $566.32 / $602.48 / $6,433.00	Professional		$566.32	$602.48	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $600.38	Facility		$572.00	$572.00	$600.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.08 / $757.86 / $1,138.15	Professional		$520.08	$757.86	$1,138.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.53 / $651.97 / $770.51	Professional		$507.53	$651.97	$770.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $554.53 / $714.19 / $1,095.74	Facility		$554.53	$714.19	$1,095.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $788.00 / $1,007.00	Professional		$642.00	$788.00	$1,007.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $517.96 / $707.30 / $2,259.66	Facility		$517.96	$707.30	$2,259.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $707.30 / $2,259.66	Professional		$517.96	$707.30	$2,259.66
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 $426.46 / $688.62 / $1,075.96	Professional		$426.46	$688.62	$1,075.96