Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.14 / $4,771.00 / $9,539.00	Facility		$833.14	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.17 / $833.14 / $1,048.75	Professional		$644.17	$833.14	$1,048.75
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 $729.06 / $953.03 / $1,575.64	Professional		$729.06	$953.03	$1,575.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $908.77 / $908.77 / $4,117.00	Professional		$908.77	$908.77	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $904.09	Facility		$640.00	$640.00	$904.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.25 / $984.62 / $1,733.84	Professional		$738.25	$984.62	$1,733.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.20 / $984.25 / $1,163.20	Professional		$761.20	$984.25	$1,163.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $790.98 / $984.62 / $1,480.07	Facility		$790.98	$984.62	$1,480.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $899.00 / $1,035.00 / $1,494.00	Professional		$899.00	$1,035.00	$1,494.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $695.74 / $960.56 / $3,341.36	Facility		$695.74	$960.56	$3,341.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $695.74 / $960.56 / $3,341.36	Professional		$695.74	$960.56	$3,341.36
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 $579.01 / $951.50 / $1,451.06	Professional		$579.01	$951.50	$1,451.06