Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.01 / $5,087.00 / $8,294.00	Facility		$1,174.01	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.39 / $892.17 / $1,174.01	Professional		$685.39	$892.17	$1,174.01
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 $792.77 / $1,041.85 / $1,472.34	Professional		$792.77	$1,041.85	$1,472.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $900.61 / $1,756.19 / $6,694.00	Professional		$900.61	$1,756.19	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,005.87 / $1,005.87	Facility		$1,005.87	$1,005.87	$1,005.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.36 / $975.41 / $1,651.27	Professional		$704.36	$975.41	$1,651.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.29 / $982.69 / $1,252.75	Professional		$835.29	$982.69	$1,252.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $764.30 / $971.68 / $1,621.02	Facility		$764.30	$971.68	$1,621.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $963.00 / $1,084.00 / $1,716.21	Professional		$963.00	$1,084.00	$1,716.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $722.76 / $1,036.01 / $7,420.00	Facility		$722.76	$1,036.01	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $722.76 / $1,036.01 / $7,420.00	Professional		$722.76	$1,036.01	$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 $563.33 / $795.86 / $1,416.70	Professional		$563.33	$795.86	$1,416.70