Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,695.75 / $5,636.00 / $14,798.00	Facility		$1,695.75	$5,636.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.78 / $1,017.23 / $1,370.27	Professional		$889.78	$1,017.23	$1,370.27
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 $904.76 / $1,156.99 / $1,912.85	Professional		$904.76	$1,156.99	$1,912.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.91 / $1,100.77 / $9,951.00	Professional		$1,023.91	$1,100.77	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,103.68 / $1,103.68 / $1,200.00	Facility		$1,103.68	$1,103.68	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.84 / $1,272.36 / $2,132.17	Professional		$954.84	$1,272.36	$2,132.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.55 / $1,192.38 / $1,405.60	Professional		$931.55	$1,192.38	$1,405.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,014.44 / $1,290.83 / $1,917.63	Facility		$1,014.44	$1,290.83	$1,917.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,175.00 / $1,368.19 / $1,883.00	Professional		$1,175.00	$1,368.19	$1,883.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $943.53 / $1,241.73 / $4,237.85	Facility		$943.53	$1,241.73	$4,237.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $943.53 / $1,241.73 / $4,237.85	Professional		$943.53	$1,241.73	$4,237.85
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 $767.05 / $1,208.82 / $1,846.15	Professional		$767.05	$1,208.82	$1,846.15