Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.81 / $3,645.00 / $8,294.00	Facility		$1,218.81	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.90 / $1,218.81 / $1,529.22	Professional		$968.90	$1,218.81	$1,529.22
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 $997.88 / $1,276.07 / $2,109.71	Professional		$997.88	$1,276.07	$2,109.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,175.29 / $1,213.60 / $7,889.00	Professional		$1,175.29	$1,213.60	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,222.09	Facility		$572.00	$572.00	$1,222.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.16 / $1,376.19 / $2,433.03	Professional		$1,029.16	$1,376.19	$2,433.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,026.06 / $1,313.36 / $1,544.02	Professional		$1,026.06	$1,313.36	$1,544.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,086.36 / $1,426.01 / $2,023.65	Facility		$1,086.36	$1,426.01	$2,023.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,364.00 / $1,530.00 / $2,092.00	Professional		$1,364.00	$1,530.00	$2,092.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,069.94 / $1,420.19 / $4,616.58	Facility		$1,069.94	$1,420.19	$4,616.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,069.94 / $1,420.19 / $4,616.58	Professional		$1,069.94	$1,420.19	$4,616.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,000.00 / $21,639.00	Facility		$6,398.00	$10,000.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.41 / $1,284.03 / $2,069.89	Professional		$837.41	$1,284.03	$2,069.89