Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.64 / $5,087.00 / $8,294.00	Facility		$1,015.64	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.84 / $937.61 / $1,138.90	Professional		$793.84	$937.61	$1,138.90
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 $829.17 / $1,076.08 / $1,486.55	Professional		$829.17	$1,076.08	$1,486.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $899.68 / $985.35 / $5,895.00	Professional		$899.68	$985.35	$5,895.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.23 / $1,035.23 / $1,035.23	Facility		$1,035.23	$1,035.23	$1,035.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.95 / $1,020.26 / $1,826.70	Professional		$836.95	$1,020.26	$1,826.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.01 / $1,068.43 / $1,271.94	Professional		$964.01	$1,068.43	$1,271.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $1,037.90 / $1,487.50	Facility		$803.00	$1,037.90	$1,487.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,245.00 / $2,144.28	Professional		$1,075.00	$1,245.00	$2,144.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $852.81 / $1,113.20 / $5,502.98	Facility		$852.81	$1,113.20	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $852.81 / $1,113.20 / $5,502.98	Professional		$852.81	$1,113.20	$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 $688.86 / $924.23 / $1,632.26	Professional		$688.86	$924.23	$1,632.26