Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.39 / $5,360.00 / $9,975.00	Facility		$816.39	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.94 / $640.25 / $909.61	Professional		$501.94	$640.25	$909.61
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 $576.94 / $741.04 / $1,047.24	Professional		$576.94	$741.04	$1,047.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $686.73 / $1,343.92 / $6,694.00	Professional		$686.73	$1,343.92	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.44 / $715.44 / $715.44	Facility		$715.44	$715.44	$715.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.45 / $754.14 / $1,212.18	Professional		$569.45	$754.14	$1,212.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.75 / $703.23 / $904.98	Professional		$597.75	$703.23	$904.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.98 / $773.00 / $1,142.95	Facility		$576.98	$773.00	$1,142.95
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,156.50 / $1,365.14 / $2,706.90	Facility	50	$1,156.50	$1,365.14	$2,706.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $897.00 / $1,207.77	Professional		$784.00	$897.00	$1,207.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $550.33 / $804.51 / $9,210.00	Facility		$550.33	$804.51	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $550.33 / $804.51 / $9,210.00	Professional		$550.33	$804.51	$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 $449.24 / $603.41 / $1,027.60	Professional		$449.24	$603.41	$1,027.60