Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.65 / $5,087.00 / $8,294.00	Facility		$1,063.65	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.61 / $988.77 / $1,329.67	Professional		$815.61	$988.77	$1,329.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.25 / $1,124.36 / $1,858.92	Professional		$879.25	$1,124.36	$1,858.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $963.38 / $1,070.15 / $5,113.00	Professional		$963.38	$1,070.15	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,073.55	Facility		$640.00	$640.00	$1,073.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.19 / $1,227.53 / $2,069.92	Professional		$911.19	$1,227.53	$2,069.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.08 / $1,159.78 / $1,367.81	Professional		$906.08	$1,159.78	$1,367.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $986.50 / $1,251.83 / $1,946.48	Facility		$986.50	$1,251.83	$1,946.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,324.00 / $1,785.00	Professional		$1,176.00	$1,324.00	$1,785.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $909.13 / $1,203.14 / $4,072.00	Facility		$909.13	$1,203.14	$4,072.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $909.13 / $1,203.14 / $4,072.00	Professional		$909.13	$1,203.14	$4,072.00
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 $737.84 / $1,132.59 / $1,805.76	Professional		$737.84	$1,132.59	$1,805.76