Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.67 / $5,040.00 / $10,637.11	Facility		$1,446.67	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.69 / $869.12 / $1,164.73	Professional		$742.69	$869.12	$1,164.73
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 $766.11 / $981.71 / $1,623.06	Professional		$766.11	$981.71	$1,623.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $878.24 / $935.77 / $4,646.00	Professional		$878.24	$935.77	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $944.84	Facility		$900.00	$900.00	$944.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.86 / $1,075.69 / $1,814.93	Professional		$799.86	$1,075.69	$1,814.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.18 / $1,022.95 / $1,206.15	Professional		$799.18	$1,022.95	$1,206.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $862.67 / $1,087.91 / $1,629.67	Facility		$862.67	$1,087.91	$1,629.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,018.00 / $1,143.03 / $1,548.00	Professional		$1,018.00	$1,143.03	$1,548.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.16 / $1,038.93 / $3,607.09	Facility		$776.16	$1,038.93	$3,607.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.16 / $1,038.93 / $3,607.09	Professional		$776.16	$1,038.93	$3,607.09
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 $653.85 / $1,056.70 / $1,651.48	Professional		$653.85	$1,056.70	$1,651.48