Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $8,294.00	Facility		$1,088.00	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.74 / $976.94 / $1,253.06	Professional		$768.74	$976.94	$1,253.06
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 $882.09 / $1,132.99 / $1,601.13	Professional		$882.09	$1,132.99	$1,601.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,050.93 / $2,049.31 / $4,284.00	Professional		$1,050.93	$2,049.31	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,093.85 / $1,093.85 / $1,093.85	Facility		$1,093.85	$1,093.85	$1,093.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.40 / $1,136.51 / $1,852.08	Professional		$853.40	$1,136.51	$1,852.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.01 / $1,071.78 / $1,376.50	Professional		$911.01	$1,071.78	$1,376.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $857.47 / $1,158.20 / $1,754.28	Facility		$857.47	$1,158.20	$1,754.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,150.00 / $1,344.00 / $1,849.00	Professional		$1,150.00	$1,344.00	$1,849.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $837.07 / $1,186.75 / $7,420.00	Facility		$837.07	$1,186.75	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $837.07 / $1,186.75 / $7,420.00	Professional		$837.07	$1,186.75	$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 $697.58 / $924.54 / $1,645.27	Professional		$697.58	$924.54	$1,645.27