Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $8,920.00	Facility		$1,244.00	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.98 / $1,007.94 / $1,357.09	Professional		$936.98	$1,007.94	$1,357.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.77 / $1,146.77 / $1,895.95	Professional		$896.77	$1,146.77	$1,895.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.83 / $1,131.67 / $6,433.00	Professional		$1,047.83	$1,131.67	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,094.01	Facility		$640.00	$640.00	$1,094.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.68 / $1,377.51 / $2,136.96	Professional		$956.68	$1,377.51	$2,136.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.41 / $1,181.96 / $1,393.44	Professional		$923.41	$1,181.96	$1,393.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,007.94 / $1,324.03 / $2,078.50	Facility		$1,007.94	$1,324.03	$2,078.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,199.00 / $1,441.82 / $1,886.00	Professional		$1,199.00	$1,441.82	$1,886.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $961.21 / $1,335.87 / $4,114.79	Facility		$961.21	$1,335.87	$4,114.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $961.21 / $1,335.87 / $4,114.79	Professional		$961.21	$1,335.87	$4,114.79
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 $793.18 / $1,285.19 / $2,133.90	Professional		$793.18	$1,285.19	$2,133.90