Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.20 / $3,645.00 / $8,294.00	Facility		$1,031.20	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.45 / $622.38 / $826.12	Professional		$535.45	$622.38	$826.12
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 $552.55 / $706.61 / $1,168.23	Professional		$552.55	$706.61	$1,168.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $621.16 / $675.86 / $1,211.28	Professional		$621.16	$675.86	$1,211.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $674.41	Facility		$572.00	$572.00	$674.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.97 / $780.47 / $1,333.67	Professional		$572.97	$780.47	$1,333.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.91 / $730.62 / $863.46	Professional		$569.91	$730.62	$863.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.38 / $781.21 / $1,165.16	Facility		$622.38	$781.21	$1,165.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $826.00 / $1,141.00	Professional		$690.00	$826.00	$1,141.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $572.10 / $767.69 / $2,555.33	Facility		$572.10	$767.69	$2,555.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $572.10 / $773.55 / $2,555.33	Professional		$572.10	$773.55	$2,555.33
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 $461.54 / $725.27 / $1,132.04	Professional		$461.54	$725.27	$1,132.04