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 $960.39 / $1,104.68 / $1,491.64	Professional		$960.39	$1,104.68	$1,491.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.74 / $1,257.99 / $2,079.83	Professional		$983.74	$1,257.99	$2,079.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.90 / $1,191.07 / $12,325.00	Professional		$1,000.90	$1,191.07	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,200.39	Facility		$776.00	$776.00	$1,200.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.35 / $1,343.44 / $2,318.84	Professional		$1,038.35	$1,343.44	$2,318.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.03 / $1,296.68 / $1,528.61	Professional		$1,013.03	$1,296.68	$1,528.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,092.95 / $1,397.57 / $2,040.00	Facility		$1,092.95	$1,397.57	$2,040.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,317.00 / $1,491.64 / $2,098.00	Professional		$1,317.00	$1,491.64	$2,098.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,027.33 / $1,329.48 / $4,609.00	Facility		$1,027.33	$1,329.48	$4,609.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,027.33 / $1,329.48 / $4,609.00	Professional		$1,027.33	$1,329.48	$4,609.00
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 $817.72 / $1,258.03 / $2,053.37	Professional		$817.72	$1,258.03	$2,053.37