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 $863.79 / $1,038.76 / $1,383.13	Professional		$863.79	$1,038.76	$1,383.13
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 $914.67 / $1,175.46 / $1,943.38	Professional		$914.67	$1,175.46	$1,943.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,007.21 / $1,125.27 / $5,113.00	Professional		$1,007.21	$1,125.27	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,120.04	Facility		$776.00	$776.00	$1,120.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.37 / $1,258.41 / $2,154.26	Professional		$943.37	$1,258.41	$2,154.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.67 / $1,214.33 / $1,435.12	Professional		$946.67	$1,214.33	$1,435.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,029.90 / $1,305.58 / $2,016.66	Facility		$1,029.90	$1,305.58	$2,016.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,213.00 / $1,336.00 / $1,838.00	Professional		$1,213.00	$1,336.00	$1,838.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $929.57 / $1,239.42 / $4,281.74	Facility		$929.57	$1,239.42	$4,281.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $929.57 / $1,239.42 / $4,281.74	Professional		$929.57	$1,239.42	$4,281.74
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 $738.69 / $1,247.11 / $1,922.69	Professional		$738.69	$1,247.11	$1,922.69