Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,985.21 / $5,480.00 / $14,798.00	Facility		$1,985.21	$5,480.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.80 / $2,385.57 / $3,270.33	Professional		$683.80	$2,385.57	$3,270.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.95 / $786.39 / $1,312.79	Professional		$614.95	$786.39	$1,312.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $742.73 / $879.86 / $9,951.00	Professional		$742.73	$879.86	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.52 / $1,144.52 / $1,200.00	Facility		$1,144.52	$1,144.52	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.68 / $2,105.44 / $5,240.60	Professional		$728.68	$2,105.44	$5,240.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,455.91 / $3,178.24 / $3,756.10	Professional		$2,455.91	$3,178.24	$3,756.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.83 / $1,612.16 / $4,632.60	Facility		$724.83	$1,612.16	$4,632.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,456.00 / $4,275.00 / $5,237.00	Professional		$3,456.00	$4,275.00	$5,237.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $687.53 / $951.87 / $3,512.00	Facility		$687.53	$951.87	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,412.23 / $3,603.11 / $6,656.58	Professional		$2,412.23	$3,603.11	$6,656.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,217.00	Facility		$3,510.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.21 / $3,408.62 / $5,613.64	Professional		$2,170.21	$3,408.62	$5,613.64