Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.83 / $3,991.00 / $8,920.00	Facility		$1,142.83	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.27 / $1,142.83 / $1,416.33	Professional		$961.27	$1,142.83	$1,416.33
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 $929.23 / $1,201.08 / $1,701.08	Professional		$929.23	$1,201.08	$1,701.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,137.60 / $1,172.38 / $2,356.48	Professional		$1,137.60	$1,172.38	$2,356.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,158.61	Facility		$490.00	$610.00	$1,158.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.88 / $1,241.29 / $2,193.56	Professional		$858.88	$1,241.29	$2,193.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.59 / $1,164.38 / $1,690.37	Professional		$942.59	$1,164.38	$1,690.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,002.59 / $1,293.31 / $1,931.40	Facility		$1,002.59	$1,293.31	$1,931.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,215.00 / $1,433.00 / $2,386.58	Professional		$1,215.00	$1,433.00	$2,386.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $987.22 / $1,270.48 / $2,354.40	Facility		$987.22	$1,270.48	$2,354.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $987.22 / $1,270.48 / $2,354.40	Professional		$987.22	$1,270.48	$2,354.40
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,978.00 / $12,739.00	Facility		$908.00	$5,978.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.98 / $1,198.33 / $2,015.52	Professional		$801.98	$1,198.33	$2,015.52