Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.49 / $4,401.58 / $8,003.00	Facility		$676.49	$4,401.58	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.95 / $1,294.82 / $2,688.17	Professional		$335.95	$1,294.82	$2,688.17
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 $326.98 / $894.39 / $1,936.88	Professional		$326.98	$894.39	$1,936.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $385.99 / $526.23 / $5,354.00	Professional		$385.99	$526.23	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.01 / $968.29 / $2,739.49	Professional		$392.01	$968.29	$2,739.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,358.78 / $1,630.54 / $2,023.05	Professional		$1,358.78	$1,630.54	$2,023.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $415.08 / $1,464.71 / $2,804.39	Facility		$415.08	$1,464.71	$2,804.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,834.00 / $2,031.00 / $3,310.75	Professional		$1,834.00	$2,031.00	$3,310.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $360.85 / $479.41 / $7,420.00	Facility		$360.85	$479.41	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,635.06 / $2,166.62 / $7,530.80	Professional		$1,635.06	$2,166.62	$7,530.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,737.00 / $9,373.00 / $17,192.00	Facility		$5,737.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,458.57 / $2,427.44 / $3,352.20	Professional		$1,458.57	$2,427.44	$3,352.20