Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,633.00 / $8,294.00	Facility		$1,088.00	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.28 / $816.65 / $1,088.00	Professional		$748.28	$816.65	$1,088.00
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 $720.37 / $921.19 / $1,523.00	Professional		$720.37	$921.19	$1,523.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $850.37 / $918.40 / $9,951.00	Professional		$850.37	$918.40	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $878.62	Facility		$572.00	$572.00	$878.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.47 / $1,005.70 / $1,748.35	Professional		$768.47	$1,005.70	$1,748.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $749.73 / $959.65 / $1,119.92	Professional		$749.73	$959.65	$1,119.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $815.48 / $1,078.78 / $1,680.00	Facility		$815.48	$1,078.78	$1,680.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,004.00 / $1,155.57 / $1,612.00	Professional		$1,004.00	$1,155.57	$1,612.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $753.08 / $1,014.65 / $3,403.10	Facility		$753.08	$1,014.65	$3,403.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $753.08 / $1,014.65 / $3,403.10	Professional		$753.08	$1,014.65	$3,403.10
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 $615.04 / $967.08 / $1,522.74	Professional		$615.04	$967.08	$1,522.74