Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $5,412.00 / $11,425.00	Facility		$1,036.33	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.27 / $965.80 / $1,295.43	Professional		$834.27	$965.80	$1,295.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.66 / $1,098.04 / $1,815.38	Professional		$858.66	$1,098.04	$1,815.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,054.28 / $1,100.84 / $9,951.00	Professional		$1,054.28	$1,100.84	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,048.25	Facility		$640.00	$640.00	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.95 / $1,157.91 / $2,017.59	Professional		$906.95	$1,157.91	$2,017.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.83 / $1,132.58 / $1,336.48	Professional		$884.83	$1,132.58	$1,336.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $947.34 / $1,210.00 / $1,896.50	Facility		$947.34	$1,210.00	$1,896.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,022.00 / $1,286.00 / $1,783.00	Professional		$1,022.00	$1,286.00	$1,783.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $857.35 / $1,160.76 / $4,010.03	Facility		$857.35	$1,160.76	$4,010.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $857.35 / $1,160.76 / $4,010.03	Professional		$857.35	$1,160.76	$4,010.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,803.00 / $26,411.00	Facility		$5,478.00	$12,803.00	$26,411.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.76 / $1,134.00 / $1,804.98	Professional		$709.76	$1,134.00	$1,804.98