Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.47 / $5,087.00 / $8,294.00	Facility		$1,272.47	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.38 / $1,143.78 / $1,322.13	Professional		$974.38	$1,143.78	$1,322.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.27 / $980.14 / $1,382.93	Professional		$789.27	$980.14	$1,382.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,219.28 / $1,219.28 / $3,426.00	Professional		$1,219.28	$1,219.28	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,262.76 / $1,262.76 / $1,262.76	Facility		$1,262.76	$1,262.76	$1,262.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.55 / $1,278.25 / $2,226.07	Professional		$906.55	$1,278.25	$2,226.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.34 / $1,296.20 / $1,543.10	Professional		$1,167.34	$1,296.20	$1,543.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $975.63 / $1,272.47 / $1,714.32	Facility		$975.63	$1,272.47	$1,714.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $1,669.55 / $2,611.67	Professional		$805.00	$1,669.55	$2,611.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $883.29 / $1,385.67 / $3,440.00	Facility		$883.29	$1,385.67	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $883.29 / $1,385.67 / $3,440.00	Professional		$883.29	$1,385.67	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.88 / $1,154.83 / $2,027.70	Professional		$824.88	$1,154.83	$2,027.70