Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.93 / $3,948.00 / $9,539.00	Facility		$1,077.93	$3,948.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.50 / $937.81 / $1,151.36	Professional		$723.50	$937.81	$1,151.36
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 $691.17 / $883.86 / $1,461.28	Professional		$691.17	$883.86	$1,461.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.61 / $840.93 / $6,433.00	Professional		$794.61	$840.93	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,268.44	Facility		$900.00	$900.00	$1,268.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.26 / $1,091.34 / $1,976.16	Professional		$760.26	$1,091.34	$1,976.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.26 / $1,257.83 / $1,486.52	Professional		$975.26	$1,257.83	$1,486.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $828.97 / $1,146.17 / $1,832.05	Facility		$828.97	$1,146.17	$1,832.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,185.00 / $1,349.00 / $1,883.00	Professional		$1,185.00	$1,349.00	$1,883.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $716.17 / $949.39 / $3,286.79	Facility		$716.17	$949.39	$3,286.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $886.72 / $1,250.40 / $4,410.07	Professional		$886.72	$1,250.40	$4,410.07
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 $736.91 / $1,168.75 / $1,974.49	Professional		$736.91	$1,168.75	$1,974.49