Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.41 / $4,771.00 / $9,539.00	Facility		$1,070.41	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.95 / $1,070.41 / $1,312.20	Professional		$905.95	$1,070.41	$1,312.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.54 / $1,124.77 / $1,589.97	Professional		$868.54	$1,124.77	$1,589.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $980.25 / $1,089.17 / $2,123.88	Professional		$980.25	$1,089.17	$2,123.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,082.58	Facility		$490.00	$610.00	$1,082.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.50 / $1,147.22 / $2,061.27	Professional		$797.50	$1,147.22	$2,061.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.47 / $1,093.82 / $1,562.60	Professional		$885.47	$1,093.82	$1,562.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $953.83 / $1,216.40 / $1,808.99	Facility		$953.83	$1,216.40	$1,808.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,104.00 / $1,324.00 / $2,200.46	Professional		$1,104.00	$1,324.00	$2,200.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $900.98 / $1,146.99 / $2,102.07	Facility		$900.98	$1,146.99	$2,102.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $900.98 / $1,146.99 / $2,102.07	Professional		$900.98	$1,146.99	$2,102.07
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.28 / $1,088.42 / $1,864.31	Professional		$736.28	$1,088.42	$1,864.31