Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.99 / $5,328.00 / $11,024.00	Facility		$1,205.99	$5,328.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.15 / $1,117.66 / $1,512.63	Professional		$971.15	$1,117.66	$1,512.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.73 / $1,273.32 / $2,105.17	Professional		$995.73	$1,273.32	$2,105.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,157.10 / $1,210.33 / $9,951.00	Professional		$1,157.10	$1,210.33	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,215.80	Facility		$640.00	$640.00	$1,215.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.88 / $1,385.23 / $2,351.36	Professional		$1,049.88	$1,385.23	$2,351.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.27 / $1,311.07 / $1,544.39	Professional		$1,024.27	$1,311.07	$1,544.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,115.56 / $1,424.94 / $2,067.76	Facility		$1,115.56	$1,424.94	$2,067.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,310.00 / $1,500.40 / $2,064.00	Professional		$1,310.00	$1,500.40	$2,064.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,056.90 / $1,365.54 / $4,673.64	Facility		$1,056.90	$1,365.54	$4,673.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,056.90 / $1,365.54 / $4,673.64	Professional		$1,056.90	$1,365.54	$4,673.64
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 $829.99 / $1,280.33 / $2,069.91	Professional		$829.99	$1,280.33	$2,069.91