Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.43 / $5,087.00 / $8,294.00	Facility		$1,019.43	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.45 / $959.70 / $1,195.48	Professional		$804.45	$959.70	$1,195.48
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 $840.00 / $1,090.13 / $1,505.96	Professional		$840.00	$1,090.13	$1,505.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $995.17 / $1,048.30 / $5,895.00	Professional		$995.17	$1,048.30	$5,895.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.83 / $1,069.83 / $1,069.83	Facility		$1,069.83	$1,069.83	$1,069.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.29 / $1,070.22 / $1,865.70	Professional		$893.29	$1,070.22	$1,865.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.39 / $1,105.59 / $1,316.19	Professional		$996.39	$1,105.59	$1,316.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $852.72 / $1,065.76 / $1,446.78	Facility		$852.72	$1,065.76	$1,446.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,266.32 / $2,170.17	Professional		$1,116.00	$1,266.32	$2,170.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $905.82 / $1,143.50 / $5,502.98	Facility		$905.82	$1,143.50	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $905.82 / $1,143.50 / $5,502.98	Professional		$905.82	$1,143.50	$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 $706.23 / $972.36 / $1,654.45	Professional		$706.23	$972.36	$1,654.45