Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.82 / $5,412.00 / $10,767.00	Facility		$636.82	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.70 / $500.84 / $712.66	Professional		$392.70	$500.84	$712.66
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 $450.71 / $578.46 / $817.48	Professional		$450.71	$578.46	$817.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $534.66 / $1,050.82 / $4,337.00	Professional		$534.66	$1,050.82	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.60 / $559.60 / $559.60	Facility		$559.60	$559.60	$559.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.54 / $597.99 / $950.34	Professional		$446.54	$597.99	$950.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.85 / $548.05 / $707.13	Professional		$465.85	$548.05	$707.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $476.87 / $639.98 / $1,268.84	Facility		$476.87	$639.98	$1,268.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $703.00 / $944.68	Professional		$629.00	$703.00	$944.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $477.82 / $621.03 / $9,210.00	Facility		$477.82	$621.03	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $482.57 / $631.16 / $9,210.00	Professional		$482.57	$631.16	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.46 / $487.48 / $816.88	Professional		$369.46	$487.48	$816.88