Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,011.87 / $8,317.64	Facility		$1,122.02	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,137.96	Professional		$912.01	$1,122.02	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,630.27	Professional		$1,047.13	$1,548.82	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $16,595.87	Professional		$1,071.52	$1,659.59	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,238.72	Professional		$1,023.29	$1,288.25	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,445.44	Professional		$954.99	$1,230.27	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,454.71	Professional		$1,348.96	$1,659.59	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,041.74	Facility		$1,000.00	$1,318.26	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $9,549.93	Facility		$933.25	$1,288.25	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $9,549.93	Professional		$933.25	$1,288.25	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $23,988.33	Facility		$6,456.54	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $2,041.74	Professional		$776.25	$1,202.26	$2,041.74