Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.64 / $5,612.28 / $11,425.00	Facility		$755.64	$5,612.28	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.67 / $708.57 / $1,388.79	Professional		$594.67	$708.57	$1,388.79
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 $628.79 / $804.08 / $1,329.38	Professional		$628.79	$804.08	$1,329.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $771.00 / $807.77 / $8,530.00	Professional		$771.00	$807.77	$8,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $768.89	Facility		$640.00	$640.00	$768.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.45 / $859.80 / $1,471.11	Professional		$665.45	$859.80	$1,471.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.22 / $831.20 / $982.33	Professional		$649.22	$831.20	$982.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $702.83 / $890.41 / $1,296.68	Facility		$702.83	$890.41	$1,296.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $829.00 / $944.61 / $1,304.00	Professional		$829.00	$944.61	$1,304.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $666.98 / $862.53 / $2,923.46	Facility		$666.98	$862.53	$2,923.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $666.98 / $862.53 / $2,923.46	Professional		$666.98	$862.53	$2,923.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,168.84 / $17,187.00	Facility		$5,061.00	$8,168.84	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $517.92 / $828.68 / $1,250.90	Professional		$517.92	$828.68	$1,250.90