Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.54 / $5,087.00 / $8,294.00	Facility		$1,019.54	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.21 / $950.36 / $1,274.83	Professional		$857.21	$950.36	$1,274.83
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 $845.45 / $1,081.14 / $1,787.44	Professional		$845.45	$1,081.14	$1,787.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $984.46 / $1,860.63	Professional		$910.00	$984.46	$1,860.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,031.52	Facility		$640.00	$640.00	$1,031.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.30 / $1,245.80 / $1,985.66	Professional		$886.30	$1,245.80	$1,985.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.80 / $1,114.61 / $1,315.46	Professional		$870.80	$1,114.61	$1,315.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $945.57 / $1,192.85 / $1,864.14	Facility		$945.57	$1,192.85	$1,864.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,115.01 / $1,307.51 / $1,689.00	Professional		$1,115.01	$1,307.51	$1,689.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $905.32 / $1,211.95 / $3,946.52	Facility		$905.32	$1,211.95	$3,946.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $905.32 / $1,211.95 / $3,946.52	Professional		$905.32	$1,211.95	$3,946.52
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 $745.09 / $1,137.01 / $1,748.55	Professional		$745.09	$1,137.01	$1,748.55