Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.92 / $4,771.00 / $9,539.00	Facility		$1,051.92	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $971.86 / $1,240.44	Professional		$709.89	$971.86	$1,240.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.32 / $1,106.69 / $1,829.69	Professional		$855.32	$1,106.69	$1,829.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,104.47 / $1,104.47 / $17,559.00	Professional		$1,104.47	$1,104.47	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,056.80	Facility		$640.00	$640.00	$1,056.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.34 / $1,102.49 / $2,044.66	Professional		$836.34	$1,102.49	$2,044.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.64 / $1,141.30 / $1,344.94	Professional		$891.64	$1,141.30	$1,344.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $905.26 / $1,159.64 / $1,718.47	Facility		$905.26	$1,159.64	$1,718.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,001.00 / $1,176.00 / $1,735.00	Professional		$1,001.00	$1,176.00	$1,735.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $807.53 / $1,084.08 / $4,063.83	Facility		$807.53	$1,084.08	$4,063.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $807.53 / $1,084.08 / $4,063.83	Professional		$807.53	$1,084.08	$4,063.83
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $26,537.00	Facility		$7,408.00	$13,024.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.32 / $1,045.33 / $1,837.90	Professional		$680.32	$1,045.33	$1,837.90