Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.27 / $3,645.00 / $8,294.00	Facility		$1,086.27	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.90 / $1,086.27 / $1,300.05	Professional		$876.90	$1,086.27	$1,300.05
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 $881.28 / $1,141.27 / $1,886.86	Professional		$881.28	$1,141.27	$1,886.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $940.37 / $940.37 / $4,039.00	Professional		$940.37	$940.37	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,090.33	Facility		$572.00	$572.00	$1,090.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.62 / $1,177.34 / $2,182.84	Professional		$892.62	$1,177.34	$2,182.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.49 / $1,176.95 / $1,386.15	Professional		$919.49	$1,176.95	$1,386.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $940.86 / $1,201.19 / $1,812.76	Facility		$940.86	$1,201.19	$1,812.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,183.00 / $1,327.78 / $1,827.00	Professional		$1,183.00	$1,327.78	$1,827.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $922.42 / $1,202.24 / $4,108.60	Facility		$922.42	$1,202.24	$4,108.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $922.42 / $1,202.24 / $4,108.60	Professional		$922.42	$1,202.24	$4,108.60
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 $702.30 / $1,088.99 / $1,827.52	Professional		$702.30	$1,088.99	$1,827.52