Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,040.00 / $10,637.11	Facility		$1,749.00	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.84 / $1,107.04 / $1,496.46	Professional		$969.84	$1,107.04	$1,496.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $28,147.00 / $30,324.00	Facility		$21,861.00	$28,147.00	$30,324.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.08 / $1,260.34 / $2,083.73	Professional		$975.08	$1,260.34	$2,083.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,154.13 / $1,246.46 / $9,951.00	Professional		$1,154.13	$1,246.46	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,203.30	Facility		$900.00	$900.00	$1,203.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.06 / $1,351.76 / $2,326.34	Professional		$1,040.06	$1,351.76	$2,326.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,014.69 / $1,298.80 / $1,530.37	Professional		$1,014.69	$1,298.80	$1,530.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.15 / $1,400.99 / $2,072.48	Facility		$1,096.15	$1,400.99	$2,072.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,321.00 / $1,488.00 / $2,054.00	Professional		$1,321.00	$1,488.00	$2,054.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,018.55 / $1,347.47 / $4,623.92	Facility		$1,018.55	$1,347.47	$4,623.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,018.55 / $1,347.47 / $4,623.92	Professional		$1,018.55	$1,347.47	$4,623.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.65 / $1,336.88 / $2,061.54	Professional		$825.65	$1,336.88	$2,061.54