Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,897.79 / $8,912.51	Facility		$1,230.27	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $2,187.76	Professional		$870.96	$1,000.00	$2,187.76
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 $954.99 / $1,380.38 / $2,398.83	Professional		$954.99	$1,380.38	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $8,317.64	Professional		$1,047.13	$1,479.11	$8,317.64
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 $954.99 / $1,380.38 / $2,137.96	Professional		$954.99	$1,380.38	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,288.25	Professional		$851.14	$1,096.48	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,238.72	Professional		$1,778.28	$2,238.72	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,089.30	Facility		$912.01	$1,318.26	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $9,549.93	Facility		$933.25	$1,318.26	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $9,549.93	Professional		$933.25	$1,318.26	$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 $741.31 / $1,288.25 / $2,187.76	Professional		$741.31	$1,288.25	$2,187.76