Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.57 / $5,282.00 / $11,009.03	Facility		$1,668.57	$5,282.00	$11,009.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.98 / $1,003.96 / $1,346.34	Professional		$890.98	$1,003.96	$1,346.34
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 $892.78 / $1,141.67 / $1,887.52	Professional		$892.78	$1,141.67	$1,887.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,042.20 / $1,125.58 / $7,889.00	Professional		$1,042.20	$1,125.58	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,089.54	Facility		$900.00	$900.00	$1,089.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.03 / $1,284.78 / $2,092.96	Professional		$946.03	$1,284.78	$2,092.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.15 / $1,177.79 / $1,390.79	Professional		$920.15	$1,177.79	$1,390.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,003.96 / $1,268.29 / $1,837.25	Facility		$1,003.96	$1,268.29	$1,837.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,184.00 / $1,366.00 / $1,855.00	Professional		$1,184.00	$1,366.00	$1,855.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.92 / $1,275.83 / $4,074.10	Facility		$954.92	$1,275.83	$4,074.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.92 / $1,275.83 / $4,074.10	Professional		$954.92	$1,275.83	$4,074.10
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 $763.20 / $1,221.11 / $2,011.26	Professional		$763.20	$1,221.11	$2,011.26