Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.90 / $5,087.00 / $8,294.00	Facility		$1,135.90	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.66 / $1,060.94 / $1,418.32	Professional		$949.66	$1,060.94	$1,418.32
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 $942.56 / $1,205.33 / $1,992.77	Professional		$942.56	$1,205.33	$1,992.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $952.24 / $1,799.73	Professional		$910.00	$952.24	$1,799.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,150.92	Facility		$640.00	$640.00	$1,150.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.88 / $1,380.92 / $2,213.44	Professional		$995.88	$1,380.92	$2,213.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.59 / $1,243.64 / $1,467.88	Professional		$971.59	$1,243.64	$1,467.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,042.26 / $1,329.00 / $1,987.07	Facility		$1,042.26	$1,329.00	$1,987.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,253.00 / $1,439.00 / $1,952.00	Professional		$1,253.00	$1,439.00	$1,952.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,010.55 / $1,331.92 / $4,308.74	Facility		$1,010.55	$1,331.92	$4,308.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,010.55 / $1,331.92 / $4,308.74	Professional		$1,010.55	$1,331.92	$4,308.74
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 $822.02 / $1,304.80 / $1,979.46	Professional		$822.02	$1,304.80	$1,979.46