Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.34 / $5,636.00 / $14,187.00	Facility		$1,438.34	$5,636.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.78 / $3,374.21 / $4,507.25	Professional		$801.78	$3,374.21	$4,507.25
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 $726.21 / $928.66 / $1,550.30	Professional		$726.21	$928.66	$1,550.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $879.48 / $1,010.44 / $7,889.00	Professional		$879.48	$1,010.44	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,349.47	Facility		$1,200.00	$1,200.00	$1,349.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.62 / $2,294.85 / $7,480.02	Professional		$847.62	$2,294.85	$7,480.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,879.76 / $5,020.85 / $5,933.75	Professional		$3,879.76	$5,020.85	$5,933.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $913.11 / $2,207.55 / $6,445.37	Facility		$913.11	$2,207.55	$6,445.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,959.00 / $5,190.00 / $7,594.00	Professional		$3,959.00	$5,190.00	$7,594.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $793.14 / $1,097.29 / $4,247.31	Facility		$793.14	$1,097.29	$4,247.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,479.56 / $5,049.26 / $9,747.60	Professional		$2,479.56	$5,049.26	$9,747.60
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 $2,761.44 / $4,493.42 / $8,421.07	Professional		$2,761.44	$4,493.42	$8,421.07