Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.45 / $5,087.00 / $8,294.00	Facility		$781.45	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.29 / $733.59 / $977.41	Professional		$607.29	$733.59	$977.41
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 $643.30 / $832.37 / $1,376.15	Professional		$643.30	$832.37	$1,376.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $734.36 / $795.00 / $15,406.00	Professional		$734.36	$795.00	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $795.67	Facility		$640.00	$640.00	$795.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.00 / $858.98 / $1,521.99	Professional		$673.00	$858.98	$1,521.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.10 / $860.81 / $1,017.32	Professional		$672.10	$860.81	$1,017.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $910.60 / $1,344.00	Facility		$712.38	$910.60	$1,344.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $797.00 / $920.00 / $1,350.00	Professional		$797.00	$920.00	$1,350.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $673.65 / $873.73 / $3,024.62	Facility		$673.65	$873.73	$3,024.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $673.65 / $873.73 / $3,024.62	Professional		$673.65	$873.73	$3,024.62
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 $513.82 / $788.85 / $1,295.35	Professional		$513.82	$788.85	$1,295.35