Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.22 / $5,282.00 / $10,637.11	Facility		$1,170.22	$5,282.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.66 / $1,061.08 / $1,456.68	Professional		$940.66	$1,061.08	$1,456.68
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 $929.66 / $1,188.83 / $1,965.49	Professional		$929.66	$1,188.83	$1,965.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,106.61 / $1,130.68 / $9,951.00	Professional		$1,106.61	$1,130.68	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,134.56	Facility		$900.00	$900.00	$1,134.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.60 / $1,298.98 / $2,227.61	Professional		$992.60	$1,298.98	$2,227.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.39 / $1,239.54 / $1,444.48	Professional		$968.39	$1,239.54	$1,444.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,049.35 / $1,366.01 / $2,141.50	Facility		$1,049.35	$1,366.01	$2,141.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,294.00 / $1,457.00 / $1,979.00	Professional		$1,294.00	$1,457.00	$1,979.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $968.09 / $1,292.91 / $4,427.63	Facility		$968.09	$1,292.91	$4,427.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $968.09 / $1,292.91 / $4,427.63	Professional		$968.09	$1,292.91	$4,427.63
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 $783.64 / $1,234.94 / $1,935.15	Professional		$783.64	$1,234.94	$1,935.15