Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.50 / $5,087.00 / $8,294.00	Facility		$1,013.50	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.83 / $901.04 / $1,134.11	Professional		$814.83	$901.04	$1,134.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.74 / $1,016.30 / $1,680.24	Professional		$794.74	$1,016.30	$1,680.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $940.46 / $1,015.70 / $6,433.00	Professional		$940.46	$1,015.70	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $968.65	Facility		$640.00	$640.00	$968.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.34 / $1,099.34 / $1,923.11	Professional		$831.34	$1,099.34	$1,923.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.71 / $1,058.19 / $1,237.25	Professional		$826.71	$1,058.19	$1,237.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $890.35 / $1,157.61 / $1,827.48	Facility		$890.35	$1,157.61	$1,827.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,043.00 / $1,209.00 / $1,701.00	Professional		$1,043.00	$1,209.00	$1,701.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $830.89 / $1,106.76 / $3,822.17	Facility		$830.89	$1,106.76	$3,822.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $830.89 / $1,106.76 / $3,822.17	Professional		$830.89	$1,106.76	$3,822.17
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 $676.52 / $1,082.42 / $1,662.33	Professional		$676.52	$1,082.42	$1,662.33