Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.53 / $5,040.00 / $10,637.11	Facility		$1,372.53	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.34 / $826.87 / $1,100.66	Professional		$716.34	$826.87	$1,100.66
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 $734.81 / $939.66 / $1,553.53	Professional		$734.81	$939.66	$1,553.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $852.21 / $896.81 / $5,146.00	Professional		$852.21	$896.81	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.48 / $896.48 / $900.00	Facility		$896.48	$896.48	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.14 / $1,037.25 / $1,717.05	Professional		$776.14	$1,037.25	$1,717.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.21 / $969.23 / $1,145.29	Professional		$757.21	$969.23	$1,145.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $820.69 / $1,038.83 / $1,534.42	Facility		$820.69	$1,038.83	$1,534.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $963.00 / $1,100.66 / $1,517.00	Professional		$963.00	$1,100.66	$1,517.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $736.55 / $994.22 / $3,412.45	Facility		$736.55	$994.22	$3,412.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $736.55 / $994.22 / $3,412.45	Professional		$736.55	$994.22	$3,412.45
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 $604.03 / $954.71 / $1,514.52	Professional		$604.03	$954.71	$1,514.52