Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.19 / $5,412.00 / $11,425.00	Facility		$1,083.19	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.89 / $1,083.19 / $1,677.82	Professional		$915.89	$1,083.19	$1,677.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.09 / $1,136.95 / $1,607.19	Professional		$889.09	$1,136.95	$1,607.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $910.45 / $1,021.62 / $1,972.66	Professional		$910.45	$1,021.62	$1,972.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,094.99	Facility		$490.00	$610.00	$1,094.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.03 / $1,165.28 / $2,150.79	Professional		$817.03	$1,165.28	$2,150.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,103.76 / $1,574.66	Professional		$893.52	$1,103.76	$1,574.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $959.60 / $1,211.08 / $1,769.54	Facility		$959.60	$1,211.08	$1,769.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,141.00 / $1,344.00 / $2,223.79	Professional		$1,141.00	$1,344.00	$2,223.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $926.64 / $1,165.32 / $2,248.02	Facility		$926.64	$1,165.32	$2,248.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $926.64 / $1,165.32 / $2,248.02	Professional		$926.64	$1,165.32	$2,248.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.38 / $1,091.41 / $1,886.58	Professional		$743.38	$1,091.41	$1,886.58