Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.13 / $3,633.00 / $8,294.00	Facility		$637.13	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $1,153.77 / $1,385.69	Professional		$909.00	$1,153.77	$1,385.69
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 $936.42 / $1,211.61 / $1,834.31	Professional		$936.42	$1,211.61	$1,834.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,158.08 / $1,189.98 / $10,666.00	Professional		$1,158.08	$1,189.98	$10,666.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,155.38	Facility		$900.00	$900.00	$1,155.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.84 / $1,295.25 / $2,539.38	Professional		$914.84	$1,295.25	$2,539.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.57 / $1,247.65 / $1,474.50	Professional		$975.57	$1,247.65	$1,474.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,057.32 / $1,299.06 / $1,890.14	Facility		$1,057.32	$1,299.06	$1,890.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,211.00 / $1,455.00 / $2,391.21	Professional		$1,211.00	$1,455.00	$2,391.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $923.30 / $1,302.54 / $2,447.39	Facility		$923.30	$1,302.54	$2,447.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $923.30 / $1,302.54 / $2,447.39	Professional		$923.30	$1,302.54	$2,447.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,671.00 / $21,639.00	Facility		$6,423.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.82 / $1,196.59 / $2,017.32	Professional		$778.82	$1,196.59	$2,017.32