Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.84 / $5,087.00 / $8,294.00	Facility		$1,153.84	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.92 / $1,042.15 / $1,448.38	Professional		$958.92	$1,042.15	$1,448.38
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 $903.74 / $1,170.34 / $1,934.93	Professional		$903.74	$1,170.34	$1,934.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,086.58 / $1,102.92 / $5,113.00	Professional		$1,086.58	$1,102.92	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,145.08	Facility		$640.00	$640.00	$1,145.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.98 / $1,217.64 / $2,183.39	Professional		$927.98	$1,217.64	$2,183.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $953.93 / $1,221.03 / $1,411.82	Professional		$953.93	$1,221.03	$1,411.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $993.94 / $1,276.09 / $1,884.96	Facility		$993.94	$1,276.09	$1,884.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,197.00 / $1,383.00 / $2,024.00	Professional		$1,197.00	$1,383.00	$2,024.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.16 / $1,275.96 / $4,360.52	Facility		$912.16	$1,275.96	$4,360.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.16 / $1,275.96 / $4,360.52	Professional		$912.16	$1,275.96	$4,360.52
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 $688.03 / $1,122.31 / $1,939.43	Professional		$688.03	$1,122.31	$1,939.43