Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $8,294.00	Facility		$1,088.00	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.92 / $745.93 / $1,088.00	Professional		$610.92	$745.93	$1,088.00
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 $662.87 / $847.70 / $1,401.50	Professional		$662.87	$847.70	$1,401.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $663.59 / $736.58 / $1,254.19	Professional		$663.59	$736.58	$1,254.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $809.07	Facility		$572.00	$572.00	$809.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.80 / $906.25 / $1,551.59	Professional		$683.80	$906.25	$1,551.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.28 / $874.63 / $1,033.66	Professional		$683.28	$874.63	$1,033.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $745.93 / $937.89 / $1,634.39	Facility		$745.93	$937.89	$1,634.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $861.00 / $977.00 / $1,325.00	Professional		$861.00	$977.00	$1,325.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $685.77 / $908.04 / $3,019.90	Facility		$685.77	$908.04	$3,019.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $916.25 / $3,019.90	Professional		$685.77	$916.25	$3,019.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.67 / $888.23 / $1,389.53	Professional		$551.67	$888.23	$1,389.53