Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $8,294.00	Facility		$1,088.00	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $852.75 / $1,126.99	Professional		$650.69	$852.75	$1,126.99
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 $753.57 / $998.23 / $1,410.69	Professional		$753.57	$998.23	$1,410.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $864.31 / $1,685.40 / $4,284.00	Professional		$864.31	$1,685.40	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.74 / $963.74 / $963.74	Facility		$963.74	$963.74	$963.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.71 / $934.19 / $1,585.07	Professional		$668.71	$934.19	$1,585.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.04 / $944.75 / $1,200.93	Professional		$803.04	$944.75	$1,200.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $689.73 / $923.75 / $1,519.55	Facility		$689.73	$923.75	$1,519.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $898.00 / $1,034.00 / $1,642.47	Professional		$898.00	$1,034.00	$1,642.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $666.01 / $984.04 / $9,210.00	Facility		$666.01	$984.04	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $666.01 / $984.04 / $9,210.00	Professional		$666.01	$984.04	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,321.00	Facility		$6,303.00	$9,270.00	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.79 / $757.11 / $1,409.09	Professional		$528.79	$757.11	$1,409.09