Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.50 / $5,360.00 / $9,975.00	Facility		$1,117.50	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.89 / $867.91 / $1,227.50	Professional		$681.89	$867.91	$1,227.50
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 $785.28 / $1,008.65 / $1,425.42	Professional		$785.28	$1,008.65	$1,425.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $934.22 / $1,821.73 / $5,354.00	Professional		$934.22	$1,821.73	$5,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.81 / $973.81 / $973.81	Facility		$973.81	$973.81	$973.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.25 / $1,003.51 / $1,644.34	Professional		$754.25	$1,003.51	$1,644.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.52 / $955.91 / $1,224.84	Professional		$812.52	$955.91	$1,224.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $1,022.99 / $1,564.50	Facility		$756.07	$1,022.99	$1,564.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,186.00 / $1,644.77	Professional		$1,021.00	$1,186.00	$1,644.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $744.85 / $1,053.58 / $7,420.00	Facility		$744.85	$1,053.58	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $744.85 / $1,053.58 / $7,420.00	Professional		$744.85	$1,053.58	$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 $612.37 / $823.30 / $1,388.58	Professional		$612.37	$823.30	$1,388.58