Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.02 / $5,048.00 / $11,425.00	Facility		$1,068.02	$5,048.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.89 / $632.40 / $949.64	Professional		$549.89	$632.40	$949.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.90 / $850.85 / $1,406.71	Professional		$650.90	$850.85	$1,406.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $640.02 / $812.00 / $6,433.00	Professional		$640.02	$812.00	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.04 / $812.04 / $900.00	Facility		$812.04	$812.04	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.82 / $809.29 / $1,396.94	Professional		$604.82	$809.29	$1,396.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.78 / $877.80 / $1,037.36	Professional		$685.78	$877.80	$1,037.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $642.47 / $825.38 / $1,261.14	Facility		$642.47	$825.38	$1,261.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $761.00 / $871.00 / $1,329.00	Professional		$761.00	$871.00	$1,329.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $583.27 / $802.55 / $2,676.67	Facility		$583.27	$802.55	$2,676.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $583.27 / $802.55 / $2,676.67	Professional		$583.27	$802.55	$2,676.67
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.74 / $765.45 / $1,170.41	Professional		$482.74	$765.45	$1,170.41