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 $757.21 / $903.95 / $1,140.40	Professional		$757.21	$903.95	$1,140.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.52 / $1,027.70 / $1,699.09	Professional		$797.52	$1,027.70	$1,699.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $882.92 / $993.28 / $7,889.00	Professional		$882.92	$993.28	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $974.93	Facility		$640.00	$640.00	$974.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.18 / $1,094.17 / $1,866.68	Professional		$829.18	$1,094.17	$1,866.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.33 / $1,062.27 / $1,255.41	Professional		$822.33	$1,062.27	$1,255.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $864.57 / $1,073.02 / $1,654.23	Facility		$864.57	$1,073.02	$1,654.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $1,159.00 / $1,611.00	Professional		$1,005.00	$1,159.00	$1,611.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $826.34 / $1,071.36 / $3,619.30	Facility		$826.34	$1,071.36	$3,619.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $826.34 / $1,071.36 / $3,619.30	Professional		$826.34	$1,071.36	$3,619.30
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 $659.90 / $1,027.91 / $1,577.51	Professional		$659.90	$1,027.91	$1,577.51