Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.66 / $5,087.00 / $8,294.00	Facility		$1,204.66	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.14 / $1,111.25 / $1,511.68	Professional		$955.14	$1,111.25	$1,511.68
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 $968.97 / $1,266.64 / $2,094.13	Professional		$968.97	$1,266.64	$2,094.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,167.36 / $1,204.96 / $3,714.00	Professional		$1,167.36	$1,204.96	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,208.95	Facility		$640.00	$640.00	$1,208.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.60 / $1,257.57 / $2,338.60	Professional		$711.60	$1,257.57	$2,338.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.26 / $1,305.93 / $1,539.55	Professional		$1,020.26	$1,305.93	$1,539.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,270.24 / $1,969.46	Facility		$775.00	$1,270.24	$1,969.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $848.00 / $1,406.00 / $2,078.00	Professional		$848.00	$1,406.00	$2,078.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $643.37 / $1,285.00 / $2,547.92	Facility		$643.37	$1,285.00	$2,547.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $643.37 / $1,285.00 / $2,547.92	Professional		$643.37	$1,285.00	$2,547.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.17 / $1,053.02 / $1,982.82	Professional		$546.17	$1,053.02	$1,982.82