Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.79 / $3,991.00 / $8,920.00	Facility		$888.79	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.36 / $888.79 / $1,112.38	Professional		$708.36	$888.79	$1,112.38
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 $738.20 / $943.99 / $1,560.69	Professional		$738.20	$943.99	$1,560.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $844.00 / $857.01 / $3,019.00	Professional		$844.00	$857.01	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $901.69	Facility		$572.00	$572.00	$901.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.02 / $971.47 / $1,794.84	Professional		$752.02	$971.47	$1,794.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.31 / $974.48 / $1,150.64	Professional		$761.31	$974.48	$1,150.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $755.47 / $1,017.13 / $1,487.74	Facility		$755.47	$1,017.13	$1,487.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $1,109.00 / $1,547.00	Professional		$982.00	$1,109.00	$1,547.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $763.45 / $1,042.54 / $3,439.46	Facility		$763.45	$1,042.54	$3,439.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $763.45 / $1,042.54 / $3,439.46	Professional		$763.45	$1,042.54	$3,439.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,168.00 / $17,187.00	Facility		$5,061.00	$8,168.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.60 / $962.30 / $1,629.16	Professional		$585.60	$962.30	$1,629.16