Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.98 / $5,087.00 / $8,294.00	Facility		$1,161.98	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.98 / $918.34 / $1,499.96	Professional		$721.98	$918.34	$1,499.96
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 $825.52 / $1,058.46 / $1,495.81	Professional		$825.52	$1,058.46	$1,495.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $976.32 / $1,921.26 / $5,354.00	Professional		$976.32	$1,921.26	$5,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.32 / $1,026.32 / $1,026.32	Facility		$1,026.32	$1,026.32	$1,026.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.89 / $1,119.81 / $1,744.52	Professional		$825.89	$1,119.81	$1,744.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.86 / $999.83 / $1,292.08	Professional		$849.86	$999.83	$1,292.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $850.89 / $1,161.98 / $1,697.07	Facility		$850.89	$1,161.98	$1,697.07
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,702.91 / $2,010.00 / $3,903.00	Facility	50	$1,702.91	$2,010.00	$3,903.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,300.00 / $1,727.21	Professional		$1,152.00	$1,300.00	$1,727.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $836.16 / $1,159.52 / $7,420.00	Facility		$836.16	$1,159.52	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $836.16 / $1,159.52 / $7,420.00	Professional		$836.16	$1,159.52	$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 $678.22 / $940.53 / $1,678.69	Professional		$678.22	$940.53	$1,678.69