Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.56 / $3,645.00 / $8,294.00	Facility		$1,242.56	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.35 / $1,143.73 / $1,476.09	Professional		$776.35	$1,143.73	$1,476.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.25 / $1,315.37 / $2,174.69	Professional		$1,006.25	$1,315.37	$2,174.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,024.00 / $1,146.88 / $3,019.00	Professional		$1,024.00	$1,146.88	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,255.83	Facility		$776.00	$776.00	$1,255.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.26 / $1,196.05 / $2,461.17	Professional		$902.26	$1,196.05	$2,461.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.56 / $1,351.78 / $1,597.56	Professional		$1,044.56	$1,351.78	$1,597.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,035.54 / $1,330.72 / $2,029.89	Facility		$1,035.54	$1,330.72	$2,029.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,095.00 / $1,243.00 / $2,014.00	Professional		$1,095.00	$1,243.00	$2,014.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $924.75 / $1,260.02 / $3,512.00	Facility		$924.75	$1,260.02	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $924.75 / $1,260.02 / $3,512.00	Professional		$924.75	$1,260.02	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.21 / $1,166.61 / $2,052.26	Professional		$710.21	$1,166.61	$2,052.26