Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.25 / $5,091.00 / $9,539.00	Facility		$1,046.25	$5,091.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.83 / $538.60 / $836.43	Professional		$465.83	$538.60	$836.43
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 $478.20 / $611.51 / $1,011.00	Professional		$478.20	$611.51	$1,011.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $556.42 / $585.10 / $5,113.00	Professional		$556.42	$585.10	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $640.00	Facility		$585.13	$585.13	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.35 / $648.23 / $1,114.31	Professional		$504.35	$648.23	$1,114.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $634.17 / $749.49	Professional		$494.38	$634.17	$749.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.79 / $675.40 / $1,035.82	Facility		$529.79	$675.40	$1,035.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $716.99 / $991.00	Professional		$624.00	$716.99	$991.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $494.95 / $644.08 / $2,392.26	Facility		$494.95	$644.08	$2,392.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $494.95 / $644.08 / $2,392.26	Professional		$494.95	$644.08	$2,392.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,331.37 / $13,024.00 / $26,411.00	Facility		$6,331.37	$13,024.00	$26,411.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.28 / $633.73 / $996.49	Professional		$403.28	$633.73	$996.49