Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.29 / $6,470.00 / $14,867.45	Facility		$1,477.29	$6,470.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.30 / $895.05 / $1,244.24	Professional		$792.30	$895.05	$1,244.24
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 $779.38 / $996.65 / $1,647.76	Professional		$779.38	$996.65	$1,647.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $913.19 / $986.25 / $15,406.00	Professional		$913.19	$986.25	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.80 / $953.80 / $1,200.00	Facility		$953.80	$953.80	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.15 / $1,113.15 / $1,882.75	Professional		$832.15	$1,113.15	$1,882.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,039.35 / $1,207.51	Professional		$812.00	$1,039.35	$1,207.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $877.00 / $1,155.15 / $1,820.43	Facility		$877.00	$1,155.15	$1,820.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.00 / $1,243.00 / $1,617.00	Professional		$1,096.00	$1,243.00	$1,617.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $824.55 / $1,085.00 / $3,741.96	Facility		$824.55	$1,085.00	$3,741.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $824.55 / $1,092.68 / $3,741.96	Professional		$824.55	$1,092.68	$3,741.96
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 $680.06 / $1,063.42 / $1,630.18	Professional		$680.06	$1,063.42	$1,630.18