Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,048.00 / $8,294.00	Facility		$1,244.00	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.52 / $900.55 / $1,325.78	Professional		$787.52	$900.55	$1,325.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.81 / $1,025.33 / $1,695.19	Professional		$801.81	$1,025.33	$1,695.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $938.96 / $975.79 / $15,406.00	Professional		$938.96	$975.79	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $977.70	Facility		$640.00	$640.00	$977.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.85 / $1,124.46 / $1,888.43	Professional		$845.85	$1,124.46	$1,888.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.22 / $1,056.28 / $1,245.33	Professional		$825.22	$1,056.28	$1,245.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $897.96 / $1,134.04 / $1,648.01	Facility		$897.96	$1,134.04	$1,648.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,074.00 / $1,214.67 / $1,672.00	Professional		$1,074.00	$1,214.67	$1,672.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $836.94 / $1,099.15 / $3,753.23	Facility		$836.94	$1,099.15	$3,753.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $836.94 / $1,099.15 / $3,753.23	Professional		$836.94	$1,099.15	$3,753.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.61 / $1,119.41 / $1,741.46	Professional		$708.61	$1,119.41	$1,741.46