Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.92 / $5,360.00 / $9,347.59	Facility		$1,485.92	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.98 / $898.96 / $1,298.41	Professional		$759.98	$898.96	$1,298.41
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 $776.30 / $992.72 / $1,641.26	Professional		$776.30	$992.72	$1,641.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $869.97 / $963.32 / $5,113.00	Professional		$869.97	$963.32	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $941.74	Facility		$776.00	$776.00	$941.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.28 / $1,105.96 / $1,818.18	Professional		$810.28	$1,105.96	$1,818.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.19 / $1,027.61 / $1,214.46	Professional		$794.19	$1,027.61	$1,214.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $860.18 / $1,085.43 / $1,638.08	Facility		$860.18	$1,085.43	$1,638.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $981.00 / $1,161.83 / $1,598.00	Professional		$981.00	$1,161.83	$1,598.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $807.50 / $1,082.07 / $3,525.69	Facility		$807.50	$1,082.07	$3,525.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $1,082.07 / $3,525.69	Professional		$807.50	$1,082.07	$3,525.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.99 / $1,037.59 / $1,584.50	Professional		$637.99	$1,037.59	$1,584.50