Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.03 / $5,048.00 / $14,796.00	Facility		$1,130.03	$5,048.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.51 / $1,130.03 / $1,402.70	Professional		$958.51	$1,130.03	$1,402.70
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 $917.89 / $1,187.65 / $1,678.86	Professional		$917.89	$1,187.65	$1,678.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,136.49 / $1,139.81 / $2,222.63	Professional		$1,136.49	$1,139.81	$2,222.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,129.03	Facility		$490.00	$610.00	$1,129.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.49 / $1,216.07 / $2,208.42	Professional		$854.49	$1,216.07	$2,208.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.69 / $1,162.02 / $1,660.04	Professional		$940.69	$1,162.02	$1,660.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,012.85 / $1,281.48 / $1,909.75	Facility		$1,012.85	$1,281.48	$1,909.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.00 / $1,384.00 / $2,332.06	Professional		$1,148.00	$1,384.00	$2,332.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $974.85 / $1,216.61 / $2,253.48	Facility		$974.85	$1,216.61	$2,253.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $974.85 / $1,216.61 / $2,253.48	Professional		$974.85	$1,216.61	$2,253.48
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 $744.92 / $1,132.27 / $1,955.81	Professional		$744.92	$1,132.27	$1,955.81