Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.29 / $5,087.00 / $8,294.00	Facility		$1,257.29	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.86 / $1,149.28 / $1,578.21	Professional		$766.86	$1,149.28	$1,578.21
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 $1,003.54 / $1,311.83 / $2,168.84	Professional		$1,003.54	$1,311.83	$2,168.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $900.50 / $1,071.59 / $3,714.00	Professional		$900.50	$1,071.59	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,254.85	Facility		$640.00	$640.00	$1,254.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.39 / $1,176.79 / $2,332.13	Professional		$774.39	$1,176.79	$2,332.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.78 / $1,351.40 / $1,590.13	Professional		$1,055.78	$1,351.40	$1,590.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,277.88 / $2,053.94	Facility		$875.00	$1,277.88	$2,053.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $949.00 / $1,170.38 / $2,068.00	Professional		$949.00	$1,170.38	$2,068.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $705.15 / $1,170.80 / $3,512.00	Facility		$705.15	$1,170.80	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $1,170.80 / $3,512.00	Professional		$705.15	$1,170.80	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.95 / $1,034.06 / $2,063.80	Professional		$604.95	$1,034.06	$2,063.80