Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.90 / $4,771.00 / $9,539.00	Facility		$1,112.90	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.67 / $1,112.90 / $1,719.25	Professional		$943.67	$1,112.90	$1,719.25
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 $890.25 / $1,151.88 / $1,636.93	Professional		$890.25	$1,151.88	$1,636.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,085.86 / $1,092.42 / $2,130.21	Professional		$1,085.86	$1,092.42	$2,130.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,113.11	Facility		$490.00	$610.00	$1,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.97 / $1,194.66 / $2,095.61	Professional		$841.97	$1,194.66	$2,095.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.57 / $1,114.94 / $1,603.95	Professional		$902.57	$1,114.94	$1,603.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $999.54 / $1,267.47 / $1,923.87	Facility		$999.54	$1,267.47	$1,923.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,157.00 / $1,374.00 / $2,262.00	Professional		$1,157.00	$1,374.00	$2,262.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $957.64 / $1,201.49 / $2,154.27	Facility		$957.64	$1,201.49	$2,154.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $957.64 / $1,201.49 / $2,154.27	Professional		$957.64	$1,201.49	$2,154.27
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.54 / $1,113.67 / $1,827.44	Professional		$752.54	$1,113.67	$1,827.44