Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,011.87 / $8,317.64	Facility		$912.01	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,819.70	Professional		$741.31	$870.96	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,089.30	Professional		$812.83	$1,230.27	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $5,495.41	Professional		$851.14	$1,230.27	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,778.28	Professional		$794.33	$1,047.13	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,202.26	Professional		$794.33	$1,023.29	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,949.84	Professional		$1,096.48	$1,380.38	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,659.59	Facility		$794.33	$1,047.13	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $7,413.10	Facility		$758.58	$1,047.13	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $7,413.10	Professional		$758.58	$1,047.13	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,621.81	Professional		$616.60	$977.24	$1,621.81