Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.26 / $5,087.00 / $8,294.00	Facility		$1,079.26	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.73 / $999.12 / $1,295.83	Professional		$732.73	$999.12	$1,295.83
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 $887.21 / $1,147.95 / $1,897.90	Professional		$887.21	$1,147.95	$1,897.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $945.48 / $1,042.06 / $2,012.00	Professional		$945.48	$1,042.06	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,094.21	Facility		$640.00	$640.00	$1,094.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.19 / $1,039.02 / $2,140.36	Professional		$776.19	$1,039.02	$2,140.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.60 / $1,181.02 / $1,395.75	Professional		$912.60	$1,181.02	$1,395.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $873.03 / $1,167.34 / $1,763.13	Facility		$873.03	$1,167.34	$1,763.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $976.00 / $1,211.00 / $1,755.00	Professional		$976.00	$1,211.00	$1,755.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $804.54 / $1,098.23 / $2,245.65	Facility		$804.54	$1,098.23	$2,245.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $804.54 / $1,098.23 / $2,245.65	Professional		$804.54	$1,098.23	$2,245.65
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.61 / $1,063.22 / $1,915.68	Professional		$677.61	$1,063.22	$1,915.68