Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $4,891.00 / $8,294.00	Facility		$1,244.00	$4,891.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.93 / $757.86 / $1,068.58	Professional		$691.93	$757.86	$1,068.58
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 $660.05 / $854.78 / $1,413.20	Professional		$660.05	$854.78	$1,413.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $796.47 / $825.16 / $3,714.00	Professional		$796.47	$825.16	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $833.15	Facility		$640.00	$640.00	$833.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.60 / $893.50 / $1,475.28	Professional		$671.60	$893.50	$1,475.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $696.37 / $891.35 / $1,030.63	Professional		$696.37	$891.35	$1,030.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $930.31 / $1,368.70	Facility		$700.00	$930.31	$1,368.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $911.00 / $1,068.58 / $1,515.00	Professional		$911.00	$1,068.58	$1,515.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $640.27 / $920.64 / $3,225.23	Facility		$640.27	$920.64	$3,225.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $693.35 / $927.15 / $3,225.23	Professional		$693.35	$927.15	$3,225.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.02 / $874.88 / $1,373.91	Professional		$562.02	$874.88	$1,373.91