Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $5,040.00 / $11,025.00	Facility		$1,406.20	$5,040.00	$11,025.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.08 / $744.69 / $1,208.49	Professional		$632.08	$744.69	$1,208.49
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 $664.44 / $849.67 / $1,404.75	Professional		$664.44	$849.67	$1,404.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $729.27 / $823.70 / $5,146.00	Professional		$729.27	$823.70	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.04 / $806.04 / $900.00	Facility		$806.04	$806.04	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.73 / $913.11 / $1,556.44	Professional		$686.73	$913.11	$1,556.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.32 / $883.53 / $1,044.17	Professional		$683.32	$883.53	$1,044.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $880.09 / $1,362.78	Facility		$700.00	$880.09	$1,362.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $829.00 / $962.54 / $1,335.00	Professional		$829.00	$962.54	$1,335.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $687.92 / $894.62 / $3,002.02	Facility		$687.92	$894.62	$3,002.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $687.92 / $894.62 / $3,002.02	Professional		$687.92	$894.62	$3,002.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.75 / $884.39 / $1,346.78	Professional		$543.75	$884.39	$1,346.78