Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.73 / $5,360.00 / $9,347.59	Facility		$1,455.73	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $875.91 / $1,170.11	Professional		$744.09	$875.91	$1,170.11
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 $778.76 / $995.86 / $1,646.45	Professional		$778.76	$995.86	$1,646.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $905.44 / $949.93 / $12,325.00	Professional		$905.44	$949.93	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $950.42	Facility		$776.00	$776.00	$950.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.20 / $1,042.04 / $1,821.92	Professional		$812.20	$1,042.04	$1,821.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.61 / $1,027.33 / $1,213.55	Professional		$802.61	$1,027.33	$1,213.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $860.44 / $1,102.83 / $1,636.02	Facility		$860.44	$1,102.83	$1,636.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,166.00 / $1,611.00	Professional		$1,032.00	$1,166.00	$1,611.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $805.09 / $1,049.74 / $3,620.96	Facility		$805.09	$1,049.74	$3,620.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $805.09 / $1,049.74 / $3,620.96	Professional		$805.09	$1,049.74	$3,620.96
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 $644.04 / $992.91 / $1,605.97	Professional		$644.04	$992.91	$1,605.97