Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,091.00 / $9,539.00	Facility		$1,244.00	$5,091.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.95 / $670.86 / $1,037.28	Professional		$566.95	$670.86	$1,037.28
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 $596.21 / $762.42 / $1,260.50	Professional		$596.21	$762.42	$1,260.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $697.64 / $728.39 / $3,714.00	Professional		$697.64	$728.39	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $729.09	Facility		$640.00	$640.00	$729.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $800.56 / $1,393.70	Professional		$627.98	$800.56	$1,393.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.90 / $789.02 / $932.48	Professional		$615.90	$789.02	$932.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $658.67 / $838.08 / $1,261.26	Facility		$658.67	$838.08	$1,261.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $791.00 / $896.00 / $1,241.00	Professional		$791.00	$896.00	$1,241.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $617.13 / $803.40 / $2,769.56	Facility		$617.13	$803.40	$2,769.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $617.13 / $803.40 / $2,769.56	Professional		$617.13	$803.40	$2,769.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.28 / $773.06 / $1,206.75	Professional		$490.28	$773.06	$1,206.75