Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.77 / $5,087.00 / $8,294.00	Facility		$1,051.77	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.41 / $1,044.18 / $1,519.02	Professional		$870.41	$1,044.18	$1,519.02
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 $904.65 / $1,171.53 / $1,936.89	Professional		$904.65	$1,171.53	$1,936.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $980.24 / $1,074.56 / $4,117.00	Professional		$980.24	$1,074.56	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,111.38	Facility		$640.00	$640.00	$1,111.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.66 / $1,240.03 / $2,119.66	Professional		$939.66	$1,240.03	$2,119.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.88 / $1,206.94 / $1,426.39	Professional		$936.88	$1,206.94	$1,426.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,221.69 / $1,872.96	Facility		$990.00	$1,221.69	$1,872.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,142.00 / $1,316.00 / $1,835.00	Professional		$1,142.00	$1,316.00	$1,835.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $936.89 / $1,213.74 / $4,075.09	Facility		$936.89	$1,213.74	$4,075.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $936.89 / $1,213.74 / $4,075.09	Professional		$936.89	$1,213.74	$4,075.09
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 $736.37 / $1,171.09 / $1,812.66	Professional		$736.37	$1,171.09	$1,812.66