Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.24 / $4,771.00 / $9,539.00	Facility		$1,086.24	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.62 / $1,006.16 / $1,284.49	Professional		$866.62	$1,006.16	$1,284.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $54,001.38 / $75,212.97	Facility		$7,142.00	$54,001.38	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,145.20 / $1,893.35	Professional		$895.54	$1,145.20	$1,893.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $971.76 / $1,091.31 / $19,314.00	Professional		$971.76	$1,091.31	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,094.01	Facility		$640.00	$640.00	$1,094.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.90 / $1,219.89 / $2,118.29	Professional		$944.90	$1,219.89	$2,118.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.10 / $1,181.57 / $1,392.14	Professional		$923.10	$1,181.57	$1,392.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $993.81 / $1,271.50 / $1,820.64	Facility		$993.81	$1,271.50	$1,820.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,204.00 / $1,348.00 / $1,882.00	Professional		$1,204.00	$1,348.00	$1,882.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $925.75 / $1,216.54 / $4,123.47	Facility		$925.75	$1,216.54	$4,123.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $925.75 / $1,216.54 / $4,123.47	Professional		$925.75	$1,216.54	$4,123.47
United Facility/Professional Facility Modifier Low / Median / High Price $10,071.00 / $17,777.00 / $35,289.00	Facility		$10,071.00	$17,777.00	$35,289.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.40 / $1,181.29 / $1,853.89	Professional		$725.40	$1,181.29	$1,853.89