Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.53 / $5,087.00 / $8,294.00	Facility		$1,009.53	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.00 / $956.92 / $1,128.34	Professional		$809.00	$956.92	$1,128.34
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 $845.41 / $1,097.16 / $1,515.67	Professional		$845.41	$1,097.16	$1,515.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $918.51 / $1,005.13 / $5,895.00	Professional		$918.51	$1,005.13	$5,895.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,055.32 / $1,055.32 / $1,055.32	Facility		$1,055.32	$1,055.32	$1,055.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.46 / $1,048.72 / $1,863.47	Professional		$875.46	$1,048.72	$1,863.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.67 / $1,089.66 / $1,297.21	Professional		$982.67	$1,089.66	$1,297.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $824.04 / $1,052.60 / $1,487.50	Facility		$824.04	$1,052.60	$1,487.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,106.00 / $1,247.24 / $2,154.00	Professional		$1,106.00	$1,247.24	$2,154.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.65 / $1,132.49 / $7,030.19	Facility		$891.65	$1,132.49	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.65 / $1,132.49 / $7,030.19	Professional		$891.65	$1,132.49	$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 $705.33 / $948.07 / $1,678.40	Professional		$705.33	$948.07	$1,678.40