Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,040.00 / $10,637.11	Facility		$1,749.00	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.16 / $1,078.34 / $1,455.36	Professional		$955.16	$1,078.34	$1,455.36
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 $959.77 / $1,227.33 / $2,029.16	Professional		$959.77	$1,227.33	$2,029.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,139.22 / $1,166.86 / $7,889.00	Professional		$1,139.22	$1,166.86	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,172.49	Facility		$900.00	$900.00	$1,172.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.44 / $1,373.27 / $2,269.46	Professional		$1,011.44	$1,373.27	$2,269.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.06 / $1,268.56 / $1,492.26	Professional		$991.06	$1,268.56	$1,492.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,016.60 / $1,357.09 / $1,975.40	Facility		$1,016.60	$1,357.09	$1,975.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,286.00 / $1,447.00 / $2,015.00	Professional		$1,286.00	$1,447.00	$2,015.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $978.04 / $1,312.77 / $4,510.85	Facility		$978.04	$1,312.77	$4,510.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $978.04 / $1,312.77 / $4,510.85	Professional		$978.04	$1,312.77	$4,510.85
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 $798.41 / $1,277.38 / $2,021.01	Professional		$798.41	$1,277.38	$2,021.01