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 $1,104.65 / $1,213.32 / $1,648.22	Professional		$1,104.65	$1,213.32	$1,648.22
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 $1,082.40 / $1,384.15 / $2,288.41	Professional		$1,082.40	$1,384.15	$2,288.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,270.47 / $1,314.80 / $7,889.00	Professional		$1,270.47	$1,314.80	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,322.60	Facility		$776.00	$776.00	$1,322.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.41 / $1,612.16 / $2,559.39	Professional		$1,147.41	$1,612.16	$2,559.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,113.75 / $1,425.60 / $1,678.66	Professional		$1,113.75	$1,425.60	$1,678.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,213.32 / $1,556.97 / $2,335.58	Facility		$1,213.32	$1,556.97	$2,335.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,447.00 / $1,672.00 / $2,262.00	Professional		$1,447.00	$1,672.00	$2,262.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,159.01 / $1,561.83 / $5,009.00	Facility		$1,159.01	$1,561.83	$5,009.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,159.01 / $1,561.83 / $5,009.00	Professional		$1,159.01	$1,561.83	$5,009.00
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 $959.70 / $1,526.86 / $2,301.46	Professional		$959.70	$1,526.86	$2,301.46