Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.51 / $3,633.00 / $8,294.00	Facility		$803.51	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.91 / $753.45 / $1,009.64	Professional		$639.91	$753.45	$1,009.64
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 $660.96 / $855.95 / $1,415.14	Professional		$660.96	$855.95	$1,415.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $816.78 / $844.13 / $7,889.00	Professional		$816.78	$844.13	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $817.25	Facility		$572.00	$572.00	$817.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.24 / $915.36 / $1,569.01	Professional		$697.24	$915.36	$1,569.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.21 / $883.47 / $1,043.93	Professional		$690.21	$883.47	$1,043.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $743.01 / $940.11 / $1,351.42	Facility		$743.01	$940.11	$1,351.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $999.00 / $1,391.00	Professional		$891.00	$999.00	$1,391.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $679.14 / $897.29 / $3,053.82	Facility		$679.14	$897.29	$3,053.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $692.45 / $910.10 / $3,053.82	Professional		$692.45	$910.10	$3,053.82
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 $551.95 / $862.76 / $1,378.25	Professional		$551.95	$862.76	$1,378.25