Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.90 / $5,087.00 / $8,920.00	Facility		$1,033.90	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.52 / $929.09 / $1,073.99	Professional		$791.52	$929.09	$1,073.99
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 $641.28 / $796.36 / $1,123.63	Professional		$641.28	$796.36	$1,123.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,219.28 / $1,219.28 / $7,369.00	Professional		$1,219.28	$1,219.28	$7,369.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.80 / $1,025.80 / $1,025.80	Facility		$1,025.80	$1,025.80	$1,025.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.73 / $1,045.41 / $1,830.78	Professional		$790.73	$1,045.41	$1,830.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $948.65 / $1,053.38 / $1,254.03	Professional		$948.65	$1,053.38	$1,254.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $802.22 / $1,033.90 / $1,392.93	Facility		$802.22	$1,033.90	$1,392.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $1,356.29 / $2,121.60	Professional		$580.00	$1,356.29	$2,121.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $817.72 / $1,126.23 / $7,030.19	Facility		$817.72	$1,126.23	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $817.72 / $1,126.23 / $7,030.19	Professional		$817.72	$1,126.23	$7,030.19
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 $673.04 / $952.04 / $1,634.42	Professional		$673.04	$952.04	$1,634.42