Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.09 / $5,087.00 / $8,294.00	Facility		$1,032.09	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $939.87 / $1,160.30	Professional		$800.00	$939.87	$1,160.30
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 $833.68 / $1,081.94 / $1,494.64	Professional		$833.68	$1,081.94	$1,494.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $936.81 / $988.57 / $11,515.00	Professional		$936.81	$988.57	$11,515.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.16 / $1,043.16 / $1,833.68	Professional		$868.16	$1,043.16	$1,833.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.06 / $1,079.97 / $1,285.68	Professional		$975.06	$1,079.97	$1,285.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $1,049.10 / $1,435.82	Facility		$816.59	$1,049.10	$1,435.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,283.00 / $2,153.73	Professional		$1,118.00	$1,283.00	$2,153.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $882.89 / $1,148.28 / $5,502.98	Facility		$882.89	$1,148.28	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $882.89 / $1,148.28 / $5,502.98	Professional		$882.89	$1,148.28	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.08 / $959.49 / $1,697.76	Professional		$677.08	$959.49	$1,697.76