Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.49 / $5,388.00 / $11,024.00	Facility		$1,037.49	$5,388.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.54 / $1,037.49 / $1,881.30	Professional		$808.54	$1,037.49	$1,881.30
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 $854.67 / $1,092.93 / $1,806.94	Professional		$854.67	$1,092.93	$1,806.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $940.47 / $1,039.55 / $6,433.00	Professional		$940.47	$1,039.55	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,043.05	Facility		$640.00	$640.00	$1,043.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,178.73 / $2,015.96	Professional		$880.96	$1,178.73	$2,015.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.29 / $1,126.77 / $1,328.07	Professional		$880.29	$1,126.77	$1,328.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $955.95 / $1,226.11 / $1,860.64	Facility		$955.95	$1,226.11	$1,860.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,147.00 / $1,287.00 / $1,711.00	Professional		$1,147.00	$1,287.00	$1,711.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $889.81 / $1,172.06 / $4,006.80	Facility		$889.81	$1,172.06	$4,006.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $889.81 / $1,172.06 / $4,006.80	Professional		$889.81	$1,172.06	$4,006.80
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 $753.68 / $1,121.07 / $1,806.97	Professional		$753.68	$1,121.07	$1,806.97