Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,347.59	Facility		$1,538.00	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.57 / $1,072.04 / $1,447.61	Professional		$938.57	$1,072.04	$1,447.61
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 $954.86 / $1,221.05 / $2,018.76	Professional		$954.86	$1,221.05	$2,018.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,117.79 / $1,161.28 / $12,325.00	Professional		$1,117.79	$1,161.28	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,165.18	Facility		$776.00	$776.00	$1,165.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.17 / $1,332.38 / $2,251.94	Professional		$1,007.17	$1,332.38	$2,251.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.60 / $1,257.73 / $1,482.23	Professional		$982.60	$1,257.73	$1,482.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,072.04 / $1,363.69 / $2,006.97	Facility		$1,072.04	$1,363.69	$2,006.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,266.00 / $1,445.43 / $1,989.00	Professional		$1,266.00	$1,445.43	$1,989.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $997.55 / $1,309.24 / $4,476.00	Facility		$997.55	$1,309.24	$4,476.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $997.55 / $1,309.24 / $4,476.00	Professional		$997.55	$1,309.24	$4,476.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.03 / $1,291.15 / $1,979.76	Professional		$797.03	$1,291.15	$1,979.76