Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,412.00 / $11,024.00	Facility		$1,538.00	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.10 / $970.86 / $1,516.88	Professional		$807.10	$970.86	$1,516.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.81 / $1,105.90 / $1,828.38	Professional		$864.81	$1,105.90	$1,828.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $985.03 / $1,052.15 / $2,012.00	Professional		$985.03	$1,052.15	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,056.80	Facility		$776.00	$776.00	$1,056.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.05 / $1,210.77 / $2,040.29	Professional		$914.05	$1,210.77	$2,040.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.76 / $1,141.45 / $1,345.99	Professional		$891.76	$1,141.45	$1,345.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $967.81 / $1,226.48 / $1,778.42	Facility		$967.81	$1,226.48	$1,778.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,316.06 / $1,810.00	Professional		$1,125.00	$1,316.06	$1,810.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $896.87 / $1,185.27 / $4,055.18	Facility		$896.87	$1,185.27	$4,055.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $896.87 / $1,185.27 / $4,055.18	Professional		$896.87	$1,185.27	$4,055.18
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.62 / $1,173.44 / $1,867.20	Professional		$727.62	$1,173.44	$1,867.20