Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.91 / $5,087.00 / $8,294.00	Facility		$1,154.91	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.03 / $1,061.86 / $1,571.91	Professional		$924.03	$1,061.86	$1,571.91
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 $927.61 / $1,200.22 / $1,984.32	Professional		$927.61	$1,200.22	$1,984.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,124.31 / $1,135.58 / $3,714.00	Professional		$1,124.31	$1,135.58	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,151.96	Facility		$640.00	$640.00	$1,151.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.93 / $1,272.08 / $2,250.32	Professional		$965.93	$1,272.08	$2,250.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.47 / $1,230.68 / $1,445.73	Professional		$961.47	$1,230.68	$1,445.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,050.58 / $1,334.22 / $1,997.92	Facility		$1,050.58	$1,334.22	$1,997.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.00 / $1,402.81 / $1,989.00	Professional		$1,230.00	$1,402.81	$1,989.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $967.89 / $1,285.00 / $2,451.73	Facility		$967.89	$1,285.00	$2,451.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $967.89 / $1,285.00 / $2,451.73	Professional		$967.89	$1,285.00	$2,451.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $1,201.83 / $1,905.18	Professional		$732.60	$1,201.83	$1,905.18