Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.33 / $4,796.00 / $10,767.00	Facility		$1,129.33	$4,796.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.05 / $1,129.33 / $1,321.38	Professional		$918.05	$1,129.33	$1,321.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,760.00 / $18,805.21 / $26,191.85	Facility		$8,760.00	$18,805.21	$26,191.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.90 / $1,175.07 / $1,942.74	Professional		$918.90	$1,175.07	$1,942.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,117.70 / $1,180.16 / $2,230.50	Professional		$1,117.70	$1,180.16	$2,230.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,123.78	Facility		$640.00	$640.00	$1,123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.81 / $1,311.09 / $2,218.62	Professional		$964.81	$1,311.09	$2,218.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $941.96 / $1,205.71 / $1,407.95	Professional		$941.96	$1,205.71	$1,407.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.73 / $1,327.76 / $2,012.31	Facility		$1,023.73	$1,327.76	$2,012.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,290.00 / $1,451.00 / $2,018.00	Professional		$1,290.00	$1,451.00	$2,018.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $995.47 / $1,326.09 / $2,377.26	Facility		$995.47	$1,326.09	$2,377.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $995.47 / $1,326.09 / $2,377.26	Professional		$995.47	$1,326.09	$2,377.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.92 / $1,285.93 / $1,984.48	Professional		$804.92	$1,285.93	$1,984.48