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 $764.25 / $972.04 / $1,248.07	Professional		$764.25	$972.04	$1,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.98 / $1,126.43 / $1,591.86	Professional		$876.98	$1,126.43	$1,591.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.00 / $1,053.78 / $2,054.87	Professional		$691.00	$1,053.78	$2,054.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,087.52 / $1,087.52 / $1,087.52	Facility		$1,087.52	$1,087.52	$1,087.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.43 / $1,118.00 / $1,824.96	Professional		$837.43	$1,118.00	$1,824.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.22 / $1,063.79 / $1,367.58	Professional		$904.22	$1,063.79	$1,367.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $895.41 / $1,139.00 / $1,739.31	Facility		$895.41	$1,139.00	$1,739.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,117.00 / $1,313.00 / $1,843.27	Professional		$1,117.00	$1,313.00	$1,843.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $815.16 / $1,124.32 / $2,405.13	Facility		$815.16	$1,124.32	$2,405.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $815.16 / $1,124.32 / $2,405.13	Professional		$815.16	$1,124.32	$2,405.13
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.07 / $909.36 / $1,618.25	Professional		$670.07	$909.36	$1,618.25