Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.65 / $5,360.00 / $9,975.00	Facility		$1,120.65	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.19 / $1,032.43 / $1,262.63	Professional		$874.19	$1,032.43	$1,262.63
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 $913.05 / $1,184.94 / $1,636.94	Professional		$913.05	$1,184.94	$1,636.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,087.81 / $1,139.20 / $4,284.00	Professional		$1,087.81	$1,139.20	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.39 / $1,139.39 / $1,139.39	Facility		$1,139.39	$1,139.39	$1,139.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.24 / $1,142.06 / $2,011.64	Professional		$945.24	$1,142.06	$2,011.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.98 / $1,175.82 / $1,399.79	Professional		$1,060.98	$1,175.82	$1,399.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $889.93 / $1,142.23 / $1,734.15	Facility		$889.93	$1,142.23	$1,734.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,213.00 / $1,397.00 / $2,361.21	Professional		$1,213.00	$1,397.00	$2,361.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $962.39 / $1,227.81 / $7,030.19	Facility		$962.39	$1,227.81	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $962.39 / $1,227.81 / $7,030.19	Professional		$962.39	$1,227.81	$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 $768.06 / $1,032.63 / $1,796.78	Professional		$768.06	$1,032.63	$1,796.78