Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.56 / $5,087.00 / $8,294.00	Facility		$1,025.56	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.17 / $961.04 / $1,289.55	Professional		$866.17	$961.04	$1,289.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.67 / $1,092.93 / $1,806.94	Professional		$854.67	$1,092.93	$1,806.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $996.50 / $1,040.71 / $17,559.00	Professional		$996.50	$1,040.71	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,042.67	Facility		$640.00	$640.00	$1,042.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.65 / $1,282.92 / $2,008.43	Professional		$906.65	$1,282.92	$2,008.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.13 / $1,126.57 / $1,329.03	Professional		$880.13	$1,126.57	$1,329.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $961.04 / $1,240.51 / $1,876.77	Facility		$961.04	$1,240.51	$1,876.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,139.00 / $1,324.84 / $1,773.00	Professional		$1,139.00	$1,324.84	$1,773.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $915.47 / $1,222.02 / $3,991.80	Facility		$915.47	$1,222.02	$3,991.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $915.47 / $1,222.02 / $3,991.80	Professional		$915.47	$1,222.02	$3,991.80
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 $753.63 / $1,202.33 / $1,834.57	Professional		$753.63	$1,202.33	$1,834.57