Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.11 / $5,282.00 / $10,637.11	Facility		$1,139.11	$5,282.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.69 / $1,112.84 / $1,354.36	Professional		$885.69	$1,112.84	$1,354.36
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 $889.71 / $1,137.74 / $1,608.30	Professional		$889.71	$1,137.74	$1,608.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,031.03 / $1,051.70 / $2,113.92	Professional		$1,031.03	$1,051.70	$2,113.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,142.00 / $1,568.92	Facility		$610.00	$1,142.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.04 / $1,190.33 / $2,025.63	Professional		$837.04	$1,190.33	$2,025.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.68 / $1,115.08 / $1,549.23	Professional		$902.68	$1,115.08	$1,549.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $972.25 / $1,246.54 / $1,894.10	Facility		$972.25	$1,246.54	$1,894.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,326.49 / $2,196.00	Professional		$1,144.00	$1,326.49	$2,196.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $950.96 / $1,193.98 / $2,252.53	Facility		$950.96	$1,193.98	$2,252.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $950.96 / $1,193.98 / $2,252.53	Professional		$950.96	$1,193.98	$2,252.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,439.00 / $21,401.00	Facility		$1,745.00	$10,439.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.94 / $1,167.03 / $1,877.92	Professional		$759.94	$1,167.03	$1,877.92