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 $558.51 / $665.88 / $1,055.81	Professional		$558.51	$665.88	$1,055.81
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 $584.19 / $756.53 / $1,250.77	Professional		$584.19	$756.53	$1,250.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.94 / $723.39 / $3,448.00	Professional		$691.94	$723.39	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $723.51	Facility		$572.00	$572.00	$723.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.75 / $780.67 / $1,381.63	Professional		$537.75	$780.67	$1,381.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.30 / $783.65 / $926.13	Professional		$611.30	$783.65	$926.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $589.71 / $779.91 / $1,194.99	Facility		$589.71	$779.91	$1,194.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $662.00 / $838.00 / $1,235.00	Professional		$662.00	$838.00	$1,235.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $492.46 / $760.34 / $1,683.00	Facility		$492.46	$760.34	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $492.46 / $760.34 / $1,683.00	Professional		$492.46	$760.34	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.39 / $687.31 / $1,196.30	Professional		$419.39	$687.31	$1,196.30