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 $791.65 / $934.16 / $1,180.71	Professional		$791.65	$934.16	$1,180.71
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 $821.48 / $1,050.49 / $1,736.77	Professional		$821.48	$1,050.49	$1,736.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $902.74 / $1,011.07 / $4,117.00	Professional		$902.74	$1,011.07	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $996.54	Facility		$640.00	$640.00	$996.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.30 / $1,161.03 / $1,919.86	Professional		$849.30	$1,161.03	$1,919.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.43 / $1,086.32 / $1,283.83	Professional		$839.43	$1,086.32	$1,283.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $895.21 / $1,121.48 / $1,709.51	Facility		$895.21	$1,121.48	$1,709.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,022.00 / $1,206.05 / $1,659.00	Professional		$1,022.00	$1,206.05	$1,659.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $853.42 / $1,126.11 / $3,733.65	Facility		$853.42	$1,126.11	$3,733.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $853.42 / $1,126.11 / $3,733.65	Professional		$853.42	$1,126.11	$3,733.65
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 $676.02 / $1,072.61 / $1,678.79	Professional		$676.02	$1,072.61	$1,678.79