Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.35 / $5,360.00 / $9,975.00	Facility		$814.35	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.10 / $637.50 / $1,030.92	Professional		$500.10	$637.50	$1,030.92
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 $575.42 / $739.11 / $1,044.50	Professional		$575.42	$739.11	$1,044.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $685.01 / $1,338.89 / $5,354.00	Professional		$685.01	$1,338.89	$5,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.57 / $713.57 / $713.57	Facility		$713.57	$713.57	$713.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.10 / $763.00 / $1,208.19	Professional		$568.10	$763.00	$1,208.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $701.08 / $902.00	Professional		$595.91	$701.08	$902.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $557.86 / $769.78 / $1,214.76	Facility		$557.86	$769.78	$1,214.76
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,143.00 / $1,249.50 / $2,697.81	Facility	50	$1,143.00	$1,249.50	$2,697.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $781.00 / $894.00 / $1,204.45	Professional		$781.00	$894.00	$1,204.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $548.52 / $801.19 / $9,210.00	Facility		$548.52	$801.19	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $548.52 / $801.19 / $9,210.00	Professional		$548.52	$801.19	$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 $456.66 / $601.50 / $1,020.27	Professional		$456.66	$601.50	$1,020.27