Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.95 / $5,087.00 / $8,294.00	Facility		$1,225.95	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.99 / $1,225.95 / $1,506.02	Professional		$965.99	$1,225.95	$1,506.02
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 $999.73 / $1,278.43 / $2,113.62	Professional		$999.73	$1,278.43	$2,113.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,155.41 / $1,287.65 / $7,889.00	Professional		$1,155.41	$1,287.65	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,223.35	Facility		$640.00	$640.00	$1,223.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.07 / $1,360.85 / $2,401.64	Professional		$1,024.07	$1,360.85	$2,401.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.47 / $1,309.85 / $1,548.01	Professional		$1,022.47	$1,309.85	$1,548.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,036.38 / $1,406.27 / $2,053.84	Facility		$1,036.38	$1,406.27	$2,053.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,349.00 / $1,578.00 / $2,282.00	Professional		$1,349.00	$1,578.00	$2,282.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,054.40 / $1,416.81 / $4,507.96	Facility		$1,054.40	$1,416.81	$4,507.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,054.40 / $1,416.81 / $4,507.96	Professional		$1,054.40	$1,416.81	$4,507.96
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 $815.83 / $1,308.59 / $2,026.03	Professional		$815.83	$1,308.59	$2,026.03