Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.76 / $4,771.00 / $9,539.00	Facility		$1,146.76	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.41 / $1,146.76 / $1,405.68	Professional		$966.41	$1,146.76	$1,405.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.77 / $1,197.16 / $1,676.24	Professional		$918.77	$1,197.16	$1,676.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,131.02 / $1,133.26 / $2,205.48	Professional		$1,131.02	$1,133.26	$2,205.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,159.75	Facility		$490.00	$610.00	$1,159.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.22 / $1,231.34 / $2,205.14	Professional		$845.22	$1,231.34	$2,205.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.28 / $1,164.00 / $1,662.86	Professional		$942.28	$1,164.00	$1,662.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,016.91 / $1,302.58 / $1,938.02	Facility		$1,016.91	$1,302.58	$1,938.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,183.00 / $1,422.00 / $2,347.25	Professional		$1,183.00	$1,422.00	$2,347.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $961.94 / $1,234.17 / $2,249.33	Facility		$961.94	$1,234.17	$2,249.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $961.94 / $1,234.17 / $2,249.33	Professional		$961.94	$1,234.17	$2,249.33
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $6,380.00	Facility		$327.00	$2,397.00	$6,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.20 / $1,160.09 / $2,006.70	Professional		$790.20	$1,160.09	$2,006.70