Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.19 / $3,309.00 / $8,294.00	Facility		$836.19	$3,309.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.29 / $836.19 / $1,285.41	Professional		$663.29	$836.19	$1,285.41
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 $685.11 / $884.64 / $1,462.57	Professional		$685.11	$884.64	$1,462.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $796.48 / $796.48 / $5,113.00	Professional		$796.48	$796.48	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $847.01	Facility		$572.00	$572.00	$847.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.23 / $936.38 / $1,685.00	Professional		$702.23	$936.38	$1,685.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.41 / $918.28 / $1,078.09	Professional		$717.41	$918.28	$1,078.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $717.41 / $970.30 / $1,392.69	Facility		$717.41	$970.30	$1,392.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,046.00 / $1,447.00	Professional		$930.00	$1,046.00	$1,447.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $717.73 / $971.55 / $3,162.36	Facility		$717.73	$971.55	$3,162.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $717.73 / $971.55 / $3,162.36	Professional		$717.73	$971.55	$3,162.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.34 / $896.76 / $1,418.72	Professional		$571.34	$896.76	$1,418.72