Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.66 / $5,087.00 / $8,920.00	Facility		$1,181.66	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.53 / $1,063.90 / $1,486.92	Professional		$851.53	$1,063.90	$1,486.92
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 $956.40 / $1,223.02 / $2,022.01	Professional		$956.40	$1,223.02	$2,022.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,111.97 / $1,151.34 / $3,714.00	Professional		$1,111.97	$1,151.34	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,179.78	Facility		$640.00	$640.00	$1,179.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.88 / $1,325.42 / $2,287.87	Professional		$985.88	$1,325.42	$2,287.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.69 / $1,269.35 / $1,476.06	Professional		$991.69	$1,269.35	$1,476.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,054.33 / $1,336.53 / $1,930.41	Facility		$1,054.33	$1,336.53	$1,930.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,268.00 / $1,448.00 / $2,400.15	Professional		$1,268.00	$1,448.00	$2,400.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.77 / $1,291.00 / $3,512.00	Facility		$1,000.77	$1,291.00	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.77 / $1,291.00 / $3,512.00	Professional		$1,000.77	$1,291.00	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,217.00	Facility		$3,510.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.64 / $1,274.83 / $2,124.71	Professional		$772.64	$1,274.83	$2,124.71