Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.79 / $5,360.00 / $9,347.59	Facility		$1,395.79	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.53 / $898.76 / $1,131.72	Professional		$646.53	$898.76	$1,131.72
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 $776.56 / $1,015.12 / $1,678.29	Professional		$776.56	$1,015.12	$1,678.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $736.93 / $810.62 / $1,392.80	Professional		$736.93	$810.62	$1,392.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $963.00	Facility		$776.00	$776.00	$963.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.72 / $1,023.17 / $1,851.00	Professional		$768.72	$1,023.17	$1,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.71 / $1,048.49 / $1,239.11	Professional		$810.71	$1,048.49	$1,239.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $803.28 / $1,037.85 / $1,553.19	Facility		$803.28	$1,037.85	$1,553.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $838.00 / $1,056.00 / $1,592.00	Professional		$838.00	$1,056.00	$1,592.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $764.61 / $1,025.48 / $3,592.55	Facility		$764.61	$1,025.48	$3,592.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $764.61 / $1,025.48 / $3,592.55	Professional		$764.61	$1,025.48	$3,592.55
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 $593.52 / $1,017.46 / $1,611.73	Professional		$593.52	$1,017.46	$1,611.73