Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $8,294.00	Facility		$1,244.00	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.09 / $917.45 / $1,151.04	Professional		$731.09	$917.45	$1,151.04
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 $749.92 / $970.32 / $1,604.23	Professional		$749.92	$970.32	$1,604.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.47 / $870.47 / $6,433.00	Professional		$870.47	$870.47	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $926.03	Facility		$640.00	$640.00	$926.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.94 / $1,024.86 / $1,857.18	Professional		$767.94	$1,024.86	$1,857.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $781.35 / $1,000.13 / $1,178.58	Professional		$781.35	$1,000.13	$1,178.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $830.47 / $1,061.55 / $1,536.59	Facility		$830.47	$1,061.55	$1,536.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,028.00 / $1,157.00 / $1,619.00	Professional		$1,028.00	$1,157.00	$1,619.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $784.25 / $1,051.83 / $3,559.57	Facility		$784.25	$1,051.83	$3,559.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $784.25 / $1,051.83 / $3,559.57	Professional		$784.25	$1,051.83	$3,559.57
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 $619.23 / $990.77 / $1,528.16	Professional		$619.23	$990.77	$1,528.16