Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.04 / $5,087.00 / $8,294.00	Facility		$1,123.04	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.15 / $1,117.26 / $1,413.71	Professional		$907.15	$1,117.26	$1,413.71
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 $973.16 / $1,265.84 / $2,092.82	Professional		$973.16	$1,265.84	$2,092.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,081.74 / $1,211.06 / $15,406.00	Professional		$1,081.74	$1,211.06	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,203.36	Facility		$640.00	$640.00	$1,203.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.92 / $1,320.40 / $2,263.29	Professional		$1,016.92	$1,320.40	$2,263.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.92 / $1,303.71 / $1,540.75	Professional		$1,016.92	$1,303.71	$1,540.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,066.47 / $1,323.00 / $1,942.27	Facility		$1,066.47	$1,323.00	$1,942.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,423.00 / $1,979.00	Professional		$1,227.00	$1,423.00	$1,979.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,016.93 / $1,291.00 / $4,376.17	Facility		$1,016.93	$1,291.00	$4,376.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,016.93 / $1,291.00 / $4,376.17	Professional		$1,016.93	$1,291.00	$4,376.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,074.00 / $21,639.00	Facility		$6,423.00	$11,074.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.84 / $1,220.85 / $1,912.57	Professional		$790.84	$1,220.85	$1,912.57