Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.09 / $5,480.00 / $14,798.00	Facility		$1,225.09	$5,480.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.37 / $809.80 / $1,026.58	Professional		$681.37	$809.80	$1,026.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.97 / $831.20 / $1,181.21	Professional		$659.97	$831.20	$1,181.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $757.61 / $771.41 / $1,581.39	Professional		$757.61	$771.41	$1,581.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,356.00 / $3,282.37	Facility		$610.00	$1,356.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.00 / $895.98 / $1,487.32	Professional		$637.00	$895.98	$1,487.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.04 / $838.80 / $1,173.21	Professional		$671.04	$838.80	$1,173.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $727.73 / $923.17 / $1,447.18	Facility		$727.73	$923.17	$1,447.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $1,018.00 / $1,627.00	Professional		$906.00	$1,018.00	$1,627.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $708.51 / $897.44 / $1,649.56	Facility		$708.51	$897.44	$1,649.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $708.51 / $897.44 / $1,649.56	Professional		$708.51	$897.44	$1,649.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.57 / $868.31 / $1,410.41	Professional		$557.57	$868.31	$1,410.41