Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.19 / $3,645.00 / $8,294.00	Facility		$1,142.19	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.57 / $1,142.19 / $1,431.28	Professional		$907.57	$1,142.19	$1,431.28
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 $930.58 / $1,190.79 / $1,968.73	Professional		$930.58	$1,190.79	$1,968.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,092.98 / $1,092.98 / $5,113.00	Professional		$1,092.98	$1,092.98	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,140.13	Facility		$572.00	$572.00	$1,140.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.37 / $1,270.25 / $2,273.38	Professional		$946.37	$1,270.25	$2,273.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.67 / $1,228.38 / $1,447.39	Professional		$959.67	$1,228.38	$1,447.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $970.86 / $1,322.52 / $1,901.07	Facility		$970.86	$1,322.52	$1,901.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,264.00 / $1,423.00 / $1,970.00	Professional		$1,264.00	$1,423.00	$1,970.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $983.67 / $1,303.57 / $4,322.10	Facility		$983.67	$1,303.57	$4,322.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $983.67 / $1,303.57 / $4,322.10	Professional		$983.67	$1,303.57	$4,322.10
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 $777.46 / $1,269.58 / $2,001.46	Professional		$777.46	$1,269.58	$2,001.46