Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.52 / $5,360.00 / $10,767.00	Facility		$1,339.52	$5,360.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.33 / $682.47 / $1,057.68	Professional		$586.33	$682.47	$1,057.68
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 $605.73 / $774.60 / $1,280.64	Professional		$605.73	$774.60	$1,280.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $702.15 / $740.81 / $4,646.00	Professional		$702.15	$740.81	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.62 / $740.62 / $776.00	Facility		$740.62	$740.62	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $828.72 / $1,411.22	Professional		$638.59	$828.72	$1,411.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.83 / $802.32 / $948.19	Professional		$625.83	$802.32	$948.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $675.02 / $855.97 / $1,270.22	Facility		$675.02	$855.97	$1,270.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $797.00 / $906.39 / $1,250.00	Professional		$797.00	$906.39	$1,250.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $627.17 / $829.45 / $2,804.37	Facility		$627.17	$829.45	$2,804.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $627.17 / $829.45 / $2,804.37	Professional		$627.17	$829.45	$2,804.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,187.00	Facility		$5,121.00	$8,621.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.25 / $788.44 / $1,242.32	Professional		$500.25	$788.44	$1,242.32