Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.19 / $5,412.00 / $11,024.00	Facility		$1,202.19	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.73 / $1,138.75 / $1,346.88	Professional		$954.73	$1,138.75	$1,346.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,088.42 / $1,391.85 / $2,301.14	Professional		$1,088.42	$1,391.85	$2,301.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14,876.00 / $17,559.00 / $22,492.00	Professional		$14,876.00	$17,559.00	$22,492.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,239.46	Facility		$640.00	$640.00	$1,239.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.30 / $1,384.87 / $2,348.80	Professional		$1,045.30	$1,384.87	$2,348.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.91 / $1,337.48 / $1,580.17	Professional		$1,044.91	$1,337.48	$1,580.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,138.75 / $1,370.15 / $2,014.90	Facility		$1,138.75	$1,370.15	$2,014.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,107.00 / $1,625.31 / $2,546.32	Professional		$1,107.00	$1,625.31	$2,546.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,044.83 / $1,358.29 / $4,668.56	Facility		$1,044.83	$1,358.29	$4,668.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,044.83 / $1,358.29 / $4,668.56	Professional		$1,044.83	$1,358.29	$4,668.56
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 $876.53 / $1,436.47 / $2,320.71	Professional		$876.53	$1,436.47	$2,320.71