Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.29 / $5,587.00 / $11,425.00	Facility		$1,615.29	$5,587.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.37 / $1,066.06 / $1,342.02	Professional		$830.37	$1,066.06	$1,342.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.72 / $1,094.10 / $1,546.63	Professional		$868.72	$1,094.10	$1,546.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $994.18 / $1,013.78 / $2,037.70	Professional		$994.18	$1,013.78	$2,037.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,142.00 / $3,282.37	Facility		$610.00	$1,142.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.38 / $1,134.64 / $1,954.32	Professional		$811.38	$1,134.64	$1,954.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.94 / $1,075.86 / $1,479.62	Professional		$870.94	$1,075.86	$1,479.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $935.28 / $1,193.99 / $1,815.26	Facility		$935.28	$1,193.99	$1,815.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.00 / $1,275.04 / $2,108.00	Professional		$1,071.00	$1,275.04	$2,108.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $1,115.46 / $2,165.01	Facility		$913.06	$1,115.46	$2,165.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $913.06 / $1,115.46 / $2,165.01	Professional		$913.06	$1,115.46	$2,165.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.13 / $1,103.43 / $1,833.44	Professional		$733.13	$1,103.43	$1,833.44