Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.61 / $3,633.00 / $8,294.00	Facility		$1,189.61	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.18 / $1,189.61 / $1,559.96	Professional		$943.18	$1,189.61	$1,559.96
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 $973.30 / $1,244.63 / $2,057.73	Professional		$973.30	$1,244.63	$2,057.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,134.92 / $1,134.92 / $5,113.00	Professional		$1,134.92	$1,134.92	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,191.76	Facility		$572.00	$572.00	$1,191.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.25 / $1,329.36 / $2,362.82	Professional		$984.25	$1,329.36	$2,362.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.16 / $1,276.35 / $1,499.47	Professional		$997.16	$1,276.35	$1,499.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,011.93 / $1,379.90 / $1,976.14	Facility		$1,011.93	$1,379.90	$1,976.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.00 / $1,480.00 / $2,046.00	Professional		$1,318.00	$1,480.00	$2,046.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.24 / $1,364.44 / $4,502.22	Facility		$1,023.24	$1,364.44	$4,502.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.24 / $1,364.44 / $4,502.22	Professional		$1,023.24	$1,364.44	$4,502.22
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 $812.41 / $1,248.89 / $1,964.65	Professional		$812.41	$1,248.89	$1,964.65