Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,907.69 / $5,480.00 / $14,798.00	Facility		$1,907.69	$5,480.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.17 / $1,657.62 / $2,359.39	Professional		$779.17	$1,657.62	$2,359.39
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 $698.85 / $893.68 / $1,491.90	Professional		$698.85	$893.68	$1,491.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $825.14 / $907.65 / $7,889.00	Professional		$825.14	$907.65	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,297.44	Facility		$1,200.00	$1,200.00	$1,297.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.76 / $1,683.98 / $3,633.36	Professional		$815.76	$1,683.98	$3,633.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.85 / $2,164.87 / $2,558.48	Professional		$1,672.85	$2,164.87	$2,558.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $892.54 / $1,694.51 / $3,224.00	Facility		$892.54	$1,694.51	$3,224.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,313.41 / $2,943.00 / $3,659.00	Professional		$2,313.41	$2,943.00	$3,659.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $763.95 / $1,049.45 / $3,390.96	Facility		$763.95	$1,049.45	$3,390.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,624.78 / $2,577.38 / $6,585.00	Professional		$1,624.78	$2,577.38	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.05 / $2,204.00 / $3,824.78	Professional		$1,476.05	$2,204.00	$3,824.78