Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.53 / $5,087.00 / $8,294.00	Facility		$1,471.53	$5,087.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $641.54 / $735.77 / $1,745.20	Facility	52	$641.54	$735.77	$1,745.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.06 / $1,335.22 / $2,701.78	Professional		$1,101.06	$1,335.22	$2,701.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.15 / $1,482.26 / $2,047.66	Professional		$1,142.15	$1,482.26	$2,047.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,354.12 / $1,354.12 / $4,716.00	Professional		$1,354.12	$1,354.12	$4,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.69 / $1,429.69 / $1,429.69	Facility		$1,429.69	$1,429.69	$1,429.69
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,133.07 / $1,133.07 / $1,133.07	Facility	52	$1,133.07	$1,133.07	$1,133.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $141.63 / $141.63 / $141.63	Facility	AS	$141.63	$141.63	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.92 / $1,577.81 / $2,472.30	Professional		$1,203.92	$1,577.81	$2,472.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,314.63 / $1,453.01 / $1,729.78	Professional		$1,314.63	$1,453.01	$1,729.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,167.11 / $1,522.20 / $2,380.26	Facility		$1,167.11	$1,522.20	$2,380.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $238.00 / $257.80 / $350.05	Facility	80	$238.00	$257.80	$350.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $166.60 / $180.46 / $245.04	Facility	AS	$166.60	$180.46	$245.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,734.00 / $1,957.00 / $2,946.50	Professional		$1,734.00	$1,957.00	$2,946.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,217.35 / $1,636.83 / $7,030.19	Facility		$1,217.35	$1,636.83	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.83 / $1,757.04 / $7,030.19	Professional		$1,288.83	$1,757.04	$7,030.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.94 / $1,440.37 / $2,338.15	Professional		$1,066.94	$1,440.37	$2,338.15