Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,347.59	Facility		$1,538.00	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.08 / $946.20 / $1,268.99	Professional		$810.08	$946.20	$1,268.99
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 $841.76 / $1,076.43 / $1,779.66	Professional		$841.76	$1,076.43	$1,779.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $887.68 / $916.00 / $1,677.72	Professional		$887.68	$916.00	$1,677.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,027.05	Facility		$776.00	$776.00	$1,027.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.95 / $1,140.15 / $1,976.60	Professional		$876.95	$1,140.15	$1,976.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.10 / $1,109.89 / $1,309.80	Professional		$867.10	$1,109.89	$1,309.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $929.49 / $1,194.56 / $1,721.60	Facility		$929.49	$1,194.56	$1,721.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $1,261.00 / $1,744.00	Professional		$1,122.00	$1,261.00	$1,744.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $874.41 / $1,134.50 / $3,928.54	Facility		$874.41	$1,134.50	$3,928.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $874.41 / $1,134.50 / $3,928.54	Professional		$874.41	$1,134.50	$3,928.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.33 / $1,135.11 / $1,733.42	Professional		$695.33	$1,135.11	$1,733.42