Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,347.59	Facility		$1,538.00	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.34 / $998.00 / $1,343.37	Professional		$870.34	$998.00	$1,343.37
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 $887.86 / $1,135.38 / $1,877.12	Professional		$887.86	$1,135.38	$1,877.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $797.96 / $877.76 / $1,508.14	Professional		$797.96	$877.76	$1,508.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,083.97	Facility		$776.00	$776.00	$1,083.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.29 / $1,311.66 / $2,093.26	Professional		$931.29	$1,311.66	$2,093.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.79 / $1,170.93 / $1,380.89	Professional		$914.79	$1,170.93	$1,380.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $973.11 / $1,269.97 / $1,966.52	Facility		$973.11	$1,269.97	$1,966.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,186.00 / $1,365.00 / $1,785.00	Professional		$1,186.00	$1,365.00	$1,785.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $931.84 / $1,272.28 / $4,160.49	Facility		$931.84	$1,272.28	$4,160.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $931.84 / $1,272.28 / $4,160.49	Professional		$931.84	$1,272.28	$4,160.49
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 $793.71 / $1,318.59 / $2,071.66	Professional		$793.71	$1,318.59	$2,071.66