Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.08 / $5,048.00 / $8,294.00	Facility		$691.08	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.22 / $644.95 / $931.95	Professional		$575.22	$644.95	$931.95
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 $574.08 / $734.12 / $1,213.72	Professional		$574.08	$734.12	$1,213.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $668.93 / $698.14 / $4,117.00	Professional		$668.93	$698.14	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $701.19	Facility		$640.00	$640.00	$701.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.91 / $816.73 / $1,350.36	Professional		$604.91	$816.73	$1,350.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.15 / $755.39 / $892.67	Professional		$590.15	$755.39	$892.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $587.41 / $808.56 / $1,180.26	Facility		$587.41	$808.56	$1,180.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $872.00 / $1,225.00	Professional		$769.00	$872.00	$1,225.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $609.23 / $793.99 / $2,683.37	Facility		$609.23	$793.99	$2,683.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $609.23 / $793.99 / $2,683.37	Professional		$609.23	$793.99	$2,683.37
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 $485.96 / $775.18 / $1,187.67	Professional		$485.96	$775.18	$1,187.67