Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.88 / $5,087.00 / $8,294.00	Facility		$1,114.88	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.75 / $1,058.68 / $1,429.49	Professional		$902.75	$1,058.68	$1,429.49
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 $942.26 / $1,204.94 / $1,992.12	Professional		$942.26	$1,204.94	$1,992.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,103.20 / $1,145.77 / $5,113.00	Professional		$1,103.20	$1,145.77	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,150.55	Facility		$640.00	$640.00	$1,150.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.08 / $1,374.84 / $2,225.30	Professional		$995.08	$1,374.84	$2,225.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.81 / $1,242.64 / $1,464.55	Professional		$970.81	$1,242.64	$1,464.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,057.58 / $1,340.47 / $2,012.55	Facility		$1,057.58	$1,340.47	$2,012.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,450.00 / $1,964.00	Professional		$1,272.00	$1,450.00	$1,964.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $991.43 / $1,342.15 / $4,331.82	Facility		$991.43	$1,342.15	$4,331.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $991.43 / $1,342.15 / $4,331.82	Professional		$991.43	$1,342.15	$4,331.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.01 / $1,301.90 / $1,990.66	Professional		$835.01	$1,301.90	$1,990.66