Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $8,294.00	Facility		$1,244.00	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.57 / $953.72 / $1,255.60	Professional		$739.57	$953.72	$1,255.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.41 / $1,114.46 / $1,574.95	Professional		$855.41	$1,114.46	$1,574.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $961.16 / $1,874.26 / $6,694.00	Professional		$961.16	$1,874.26	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.96 / $1,075.96 / $1,075.96	Facility		$1,075.96	$1,075.96	$1,075.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.81 / $1,048.24 / $1,762.30	Professional		$765.81	$1,048.24	$1,762.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.67 / $1,056.08 / $1,344.83	Professional		$897.67	$1,056.08	$1,344.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.41 / $1,063.75 / $1,699.35	Facility		$812.41	$1,063.75	$1,699.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,175.00 / $1,834.03	Professional		$1,032.00	$1,175.00	$1,834.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $756.98 / $1,112.86 / $9,210.00	Facility		$756.98	$1,112.86	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $756.98 / $1,112.86 / $9,210.00	Professional		$756.98	$1,112.86	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,168.84 / $17,187.00	Facility		$5,121.00	$8,168.84	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.27 / $858.97 / $1,568.85	Professional		$608.27	$858.97	$1,568.85