Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.54 / $5,282.00 / $10,637.11	Facility		$1,413.54	$5,282.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $850.91 / $1,135.70	Professional		$731.20	$850.91	$1,135.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $755.40 / $965.99 / $1,597.07	Professional		$755.40	$965.99	$1,597.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $862.99 / $932.03 / $9,211.00	Professional		$862.99	$932.03	$9,211.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $924.75	Facility		$640.00	$640.00	$924.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.68 / $1,037.46 / $1,769.47	Professional		$787.68	$1,037.46	$1,769.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.26 / $1,001.29 / $1,180.85	Professional		$782.26	$1,001.29	$1,180.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $842.16 / $1,069.85 / $1,564.00	Facility		$842.16	$1,069.85	$1,564.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,003.00 / $1,131.00 / $1,535.00	Professional		$1,003.00	$1,131.00	$1,535.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $761.41 / $1,016.95 / $3,797.11	Facility		$761.41	$1,016.95	$3,797.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $761.41 / $1,016.95 / $3,797.11	Professional		$761.41	$1,016.95	$3,797.11
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.52 / $983.00 / $1,550.92	Professional		$624.52	$983.00	$1,550.92