Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.69 / $5,087.00 / $8,920.00	Facility		$1,032.69	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.44 / $953.30 / $1,211.42	Professional		$825.44	$953.30	$1,211.42
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 $844.84 / $1,080.35 / $1,786.15	Professional		$844.84	$1,080.35	$1,786.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $985.70 / $1,028.46 / $15,406.00	Professional		$985.70	$1,028.46	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,032.63	Facility		$640.00	$640.00	$1,032.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.58 / $1,146.08 / $2,019.52	Professional		$873.58	$1,146.08	$2,019.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.58 / $1,118.18 / $1,316.00	Professional		$873.58	$1,118.18	$1,316.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $939.12 / $1,208.25 / $1,889.82	Facility		$939.12	$1,208.25	$1,889.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,142.14 / $1,294.00 / $1,714.00	Professional		$1,142.14	$1,294.00	$1,714.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $854.32 / $1,148.28 / $4,013.88	Facility		$854.32	$1,148.28	$4,013.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $854.32 / $1,148.28 / $4,013.88	Professional		$854.32	$1,148.28	$4,013.88
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 $710.43 / $1,121.91 / $1,768.39	Professional		$710.43	$1,121.91	$1,768.39