Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.02 / $4,796.00 / $10,767.00	Facility		$1,041.02	$4,796.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.91 / $1,041.02 / $1,271.14	Professional		$883.91	$1,041.02	$1,271.14
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 $923.88 / $1,207.69 / $1,996.67	Professional		$923.88	$1,207.69	$1,996.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,245.58 / $1,245.58 / $7,889.00	Professional		$1,245.58	$1,245.58	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,145.67	Facility		$640.00	$640.00	$1,145.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.43 / $1,201.49 / $2,163.98	Professional		$932.43	$1,201.49	$2,163.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.45 / $1,230.82 / $1,454.61	Professional		$960.45	$1,230.82	$1,454.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $993.71 / $1,265.78 / $1,905.07	Facility		$993.71	$1,265.78	$1,905.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,319.05 / $1,901.00	Professional		$1,130.00	$1,319.05	$1,901.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $863.92 / $1,234.53 / $3,512.00	Facility		$863.92	$1,234.53	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $864.41 / $1,234.53 / $3,512.00	Professional		$864.41	$1,234.53	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.39 / $1,150.71 / $1,838.30	Professional		$734.39	$1,150.71	$1,838.30