Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.16 / $5,040.00 / $10,637.11	Facility		$1,394.16	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.23 / $839.63 / $1,118.27	Professional		$724.23	$839.63	$1,118.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.26 / $953.03 / $1,575.64	Professional		$745.26	$953.03	$1,575.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $865.75 / $909.34 / $9,951.00	Professional		$865.75	$909.34	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $910.62	Facility		$900.00	$900.00	$910.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.05 / $1,048.40 / $1,744.37	Professional		$781.05	$1,048.40	$1,744.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.98 / $984.29 / $1,163.14	Professional		$768.98	$984.29	$1,163.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $832.69 / $1,056.19 / $1,530.00	Facility		$832.69	$1,056.19	$1,530.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $983.00 / $1,118.26 / $1,541.00	Professional		$983.00	$1,118.26	$1,541.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $770.97 / $1,004.13 / $3,466.81	Facility		$770.97	$1,004.13	$3,466.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $770.97 / $1,004.13 / $3,466.81	Professional		$770.97	$1,004.13	$3,466.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.14 / $969.91 / $1,510.36	Professional		$609.14	$969.91	$1,510.36