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 $915.59 / $1,035.29 / $1,408.50	Professional		$915.59	$1,035.29	$1,408.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.28 / $1,179.39 / $1,949.88	Professional		$922.28	$1,179.39	$1,949.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,087.46 / $1,174.46 / $9,071.00	Professional		$1,087.46	$1,174.46	$9,071.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,126.75	Facility		$776.00	$776.00	$1,126.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.55 / $1,301.33 / $2,171.69	Professional		$974.55	$1,301.33	$2,171.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.78 / $1,217.00 / $1,434.25	Professional		$950.78	$1,217.00	$1,434.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,035.29 / $1,310.24 / $1,894.58	Facility		$1,035.29	$1,310.24	$1,894.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,237.00 / $1,406.62 / $1,935.00	Professional		$1,237.00	$1,406.62	$1,935.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $968.73 / $1,269.17 / $4,227.47	Facility		$968.73	$1,269.17	$4,227.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $968.73 / $1,269.17 / $4,227.47	Professional		$968.73	$1,269.17	$4,227.47
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 $778.57 / $1,245.71 / $1,976.59	Professional		$778.57	$1,245.71	$1,976.59