Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.95 / $5,412.00 / $10,767.00	Facility		$1,261.95	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.37 / $981.18 / $1,350.32	Professional		$772.37	$981.18	$1,350.32
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 $885.70 / $1,137.63 / $1,607.69	Professional		$885.70	$1,137.63	$1,607.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.28 / $1,995.40 / $3,472.00	Professional		$1,023.28	$1,995.40	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.33 / $1,098.33 / $1,098.33	Facility		$1,098.33	$1,098.33	$1,098.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.55 / $1,126.38 / $1,840.23	Professional		$851.55	$1,126.38	$1,840.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.86 / $1,073.95 / $1,379.79	Professional		$912.86	$1,073.95	$1,379.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $902.99 / $1,155.32 / $1,751.30	Facility		$902.99	$1,155.32	$1,751.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,147.00 / $1,324.00 / $1,862.36	Professional		$1,147.00	$1,324.00	$1,862.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $839.07 / $1,179.17 / $7,420.00	Facility		$839.07	$1,179.17	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $839.07 / $1,179.17 / $7,420.00	Professional		$839.07	$1,179.17	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.57 / $932.29 / $1,712.43	Professional		$691.57	$932.29	$1,712.43