Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.89 / $5,412.00 / $11,025.00	Facility		$1,054.89	$5,412.00	$11,025.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.32 / $1,007.04 / $1,476.21	Professional		$862.32	$1,007.04	$1,476.21
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 $893.70 / $1,142.83 / $1,889.45	Professional		$893.70	$1,142.83	$1,889.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,080.93 / $1,146.20 / $4,646.00	Professional		$1,080.93	$1,146.20	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,089.18	Facility		$640.00	$640.00	$1,089.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.02 / $1,221.42 / $2,088.19	Professional		$937.02	$1,221.42	$2,088.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.43 / $1,176.86 / $1,389.02	Professional		$919.43	$1,176.86	$1,389.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $988.19 / $1,240.83 / $1,842.88	Facility		$988.19	$1,240.83	$1,842.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,172.00 / $1,328.46 / $1,828.00	Professional		$1,172.00	$1,328.46	$1,828.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $924.33 / $1,227.69 / $4,071.00	Facility		$924.33	$1,227.69	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $924.33 / $1,227.69 / $4,071.00	Professional		$924.33	$1,227.69	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.15 / $1,224.33 / $1,913.08	Professional		$781.15	$1,224.33	$1,913.08