Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.30 / $5,412.00 / $11,425.00	Facility		$1,136.30	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.56 / $1,136.30 / $1,383.94	Professional		$999.56	$1,136.30	$1,383.94
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 $958.85 / $1,226.16 / $2,027.21	Professional		$958.85	$1,226.16	$2,027.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,246.35 / $1,302.83 / $5,146.00	Professional		$1,246.35	$1,302.83	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,166.55	Facility		$640.00	$640.00	$1,166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.30 / $1,393.58 / $2,213.44	Professional		$1,016.30	$1,393.58	$2,213.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.52 / $1,269.15 / $1,493.10	Professional		$991.52	$1,269.15	$1,493.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,084.99 / $1,381.36 / $2,081.91	Facility		$1,084.99	$1,381.36	$2,081.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,421.00 / $1,570.00 / $2,205.00	Professional		$1,421.00	$1,570.00	$2,205.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $998.50 / $1,383.88 / $4,308.74	Facility		$998.50	$1,383.88	$4,308.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $998.50 / $1,383.88 / $4,308.74	Professional		$998.50	$1,383.88	$4,308.74
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 $839.30 / $1,360.49 / $2,118.59	Professional		$839.30	$1,360.49	$2,118.59