Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.92 / $4,771.00 / $9,539.00	Facility		$1,135.92	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.06 / $1,043.06 / $1,334.77	Professional		$900.06	$1,043.06	$1,334.77
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 $910.35 / $1,190.00 / $1,967.42	Professional		$910.35	$1,190.00	$1,967.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,063.28 / $1,129.93 / $3,019.00	Professional		$1,063.28	$1,129.93	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,137.59	Facility		$640.00	$640.00	$1,137.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.81 / $1,219.65 / $2,206.21	Professional		$935.81	$1,219.65	$2,206.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.35 / $1,226.69 / $1,444.01	Professional		$958.35	$1,226.69	$1,444.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $973.70 / $1,267.17 / $1,894.94	Facility		$973.70	$1,267.17	$1,894.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,395.00 / $1,875.95	Professional		$1,176.00	$1,395.00	$1,875.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.89 / $1,238.75 / $4,294.66	Facility		$912.89	$1,238.75	$4,294.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.89 / $1,238.75 / $4,294.66	Professional		$912.89	$1,238.75	$4,294.66
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.06 / $1,138.29 / $1,867.83	Professional		$745.06	$1,138.29	$1,867.83