Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.79 / $5,087.00 / $8,294.00	Facility		$1,129.79	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.81 / $1,107.30 / $1,352.04	Professional		$923.81	$1,107.30	$1,352.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.66 / $1,188.83 / $1,965.49	Professional		$929.66	$1,188.83	$1,965.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,153.10 / $1,153.10 / $5,113.00	Professional		$1,153.10	$1,153.10	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,145.56	Facility		$640.00	$640.00	$1,145.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.71 / $1,334.22 / $2,250.75	Professional		$970.71	$1,334.22	$2,250.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.03 / $1,212.20 / $1,428.35	Professional		$947.03	$1,212.20	$1,428.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,031.83 / $1,332.06 / $1,942.54	Facility		$1,031.83	$1,332.06	$1,942.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,352.00 / $1,488.54 / $2,093.00	Professional		$1,352.00	$1,488.54	$2,093.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $993.44 / $1,363.00 / $4,307.20	Facility		$993.44	$1,363.00	$4,307.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $993.44 / $1,363.00 / $4,307.20	Professional		$993.44	$1,363.00	$4,307.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.15 / $1,233.81 / $1,928.45	Professional		$825.15	$1,233.81	$1,928.45