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 $943.07 / $1,040.83 / $1,404.08	Professional		$943.07	$1,040.83	$1,404.08
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 $926.27 / $1,184.50 / $1,958.33	Professional		$926.27	$1,184.50	$1,958.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,083.90 / $1,126.58 / $6,433.00	Professional		$1,083.90	$1,126.58	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,130.83	Facility		$776.00	$776.00	$1,130.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.06 / $1,380.36 / $2,185.91	Professional		$983.06	$1,380.36	$2,185.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.29 / $1,221.49 / $1,439.76	Professional		$954.29	$1,221.49	$1,439.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,039.59 / $1,316.54 / $2,033.77	Facility		$1,039.59	$1,316.54	$2,033.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,240.00 / $1,430.10 / $1,929.00	Professional		$1,240.00	$1,430.10	$1,929.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $992.99 / $1,333.69 / $4,344.70	Facility		$992.99	$1,333.69	$4,344.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $992.99 / $1,333.69 / $4,344.70	Professional		$992.99	$1,333.69	$4,344.70
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 $820.23 / $1,295.98 / $1,992.86	Professional		$820.23	$1,295.98	$1,992.86