Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $8,294.00	Facility		$1,244.00	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.14 / $974.61 / $1,256.11	Professional		$760.14	$974.61	$1,256.11
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 $880.59 / $1,131.07 / $1,598.41	Professional		$880.59	$1,131.07	$1,598.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $986.75 / $1,924.16 / $3,472.00	Professional		$986.75	$1,924.16	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.99 / $1,091.99 / $1,091.99	Facility		$1,091.99	$1,091.99	$1,091.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.02 / $1,089.90 / $1,791.08	Professional		$827.02	$1,089.90	$1,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.22 / $1,067.32 / $1,370.05	Professional		$907.22	$1,067.32	$1,370.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $1,113.39 / $1,731.20	Facility		$842.29	$1,113.39	$1,731.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,287.00 / $1,851.74	Professional		$1,100.00	$1,287.00	$1,851.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $822.76 / $1,147.66 / $7,420.00	Facility		$822.76	$1,147.66	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $822.76 / $1,147.66 / $7,420.00	Professional		$822.76	$1,147.66	$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 $648.91 / $884.69 / $1,512.49	Professional		$648.91	$884.69	$1,512.49