Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.73 / $5,040.00 / $10,637.11	Facility		$1,649.73	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.44 / $987.30 / $1,338.96	Professional		$866.44	$987.30	$1,338.96
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 $879.25 / $1,124.36 / $1,858.92	Professional		$879.25	$1,124.36	$1,858.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,032.54 / $1,068.72 / $7,889.00	Professional		$1,032.54	$1,068.72	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,073.61	Facility		$900.00	$900.00	$1,073.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.89 / $1,238.99 / $2,079.50	Professional		$927.89	$1,238.99	$2,079.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.26 / $1,158.73 / $1,364.99	Professional		$905.26	$1,158.73	$1,364.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $986.99 / $1,264.38 / $1,870.00	Facility		$986.99	$1,264.38	$1,870.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,182.00 / $1,333.00 / $1,839.00	Professional		$1,182.00	$1,333.00	$1,839.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $921.59 / $1,206.30 / $4,133.14	Facility		$921.59	$1,206.30	$4,133.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $921.59 / $1,206.30 / $4,133.14	Professional		$921.59	$1,206.30	$4,133.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.30 / $1,219.23 / $1,800.55	Professional		$780.30	$1,219.23	$1,800.55