Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.43 / $5,412.00 / $11,025.00	Facility		$1,210.43	$5,412.00	$11,025.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.21 / $1,103.20 / $1,343.93	Professional		$943.21	$1,103.20	$1,343.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,007.00 / $8,164.00 / $12,873.00	Facility		$7,007.00	$8,164.00	$12,873.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.50 / $1,191.18 / $1,969.37	Professional		$931.50	$1,191.18	$1,969.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,113.67 / $1,123.29 / $12,325.00	Professional		$1,113.67	$1,123.29	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,146.48	Facility		$640.00	$640.00	$1,146.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.64 / $1,281.53 / $2,100.94	Professional		$995.64	$1,281.53	$2,100.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.36 / $1,243.33 / $1,437.61	Professional		$971.36	$1,243.33	$1,437.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,044.07 / $1,386.07 / $2,215.09	Facility		$1,044.07	$1,386.07	$2,215.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,267.00 / $1,434.51 / $1,974.00	Professional		$1,267.00	$1,434.51	$1,974.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $971.37 / $1,308.98 / $4,437.37	Facility		$971.37	$1,308.98	$4,437.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $971.37 / $1,308.98 / $4,437.37	Professional		$971.37	$1,308.98	$4,437.37
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 $790.37 / $1,228.07 / $1,968.53	Professional		$790.37	$1,228.07	$1,968.53