Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.92 / $5,412.00 / $11,024.00	Facility		$1,158.92	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.97 / $1,066.18 / $1,457.90	Professional		$946.97	$1,066.18	$1,457.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.11 / $1,202.19 / $1,987.58	Professional		$940.11	$1,202.19	$1,987.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,195.45 / $1,315.00 / $9,951.00	Professional		$1,195.45	$1,315.00	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,164.19	Facility		$640.00	$640.00	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.31 / $1,374.32 / $2,255.06	Professional		$994.31	$1,374.32	$2,255.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.41 / $1,224.20 / $1,436.23	Professional		$956.41	$1,224.20	$1,436.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,049.01 / $1,427.61 / $2,120.82	Facility		$1,049.01	$1,427.61	$2,120.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,281.00 / $1,479.00 / $2,126.69	Professional		$1,281.00	$1,479.00	$2,126.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,002.04 / $1,313.75 / $4,389.91	Facility		$1,002.04	$1,313.75	$4,389.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,002.04 / $1,313.75 / $4,389.91	Professional		$1,002.04	$1,313.75	$4,389.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.04 / $1,256.08 / $1,954.55	Professional		$836.04	$1,256.08	$1,954.55