Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.95 / $5,360.00 / $9,347.59	Facility		$1,431.95	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.30 / $860.12 / $1,158.41	Professional		$750.30	$860.12	$1,158.41
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 $764.93 / $978.18 / $1,617.22	Professional		$764.93	$978.18	$1,617.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $894.52 / $983.97 / $7,889.00	Professional		$894.52	$983.97	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $934.05	Facility		$776.00	$776.00	$934.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.18 / $1,081.45 / $1,799.62	Professional		$805.18	$1,081.45	$1,799.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.46 / $1,009.23 / $1,190.72	Professional		$788.46	$1,009.23	$1,190.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $846.14 / $1,082.79 / $1,574.02	Facility		$846.14	$1,082.79	$1,574.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,152.00 / $1,593.00	Professional		$1,020.00	$1,152.00	$1,593.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $796.86 / $1,046.16 / $3,576.65	Facility		$796.86	$1,046.16	$3,576.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $796.86 / $1,046.16 / $3,576.65	Professional		$796.86	$1,046.16	$3,576.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,439.00 / $21,639.00	Facility		$6,398.00	$10,439.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.73 / $1,022.31 / $1,577.62	Professional		$649.73	$1,022.31	$1,577.62