Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.87 / $5,087.00 / $8,294.00	Facility		$735.87	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.21 / $694.12 / $1,357.73	Professional		$579.21	$694.12	$1,357.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.99 / $787.97 / $1,302.75	Professional		$608.99	$787.97	$1,302.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $715.68 / $753.33 / $3,019.00	Professional		$715.68	$753.33	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $753.64	Facility		$640.00	$640.00	$753.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.16 / $802.10 / $1,434.86	Professional		$626.16	$802.10	$1,434.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.71 / $816.17 / $964.56	Professional		$636.71	$816.17	$964.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.16 / $831.00 / $1,249.81	Facility		$645.16	$831.00	$1,249.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $907.00 / $1,274.00	Professional		$785.00	$907.00	$1,274.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $624.22 / $827.74 / $2,851.39	Facility		$624.22	$827.74	$2,851.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $624.22 / $827.74 / $2,851.39	Professional		$624.22	$827.74	$2,851.39
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 $488.97 / $769.89 / $1,262.42	Professional		$488.97	$769.89	$1,262.42