Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.87 / $5,040.00 / $10,637.11	Facility		$1,480.87	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.10 / $890.32 / $1,190.72	Professional		$780.10	$890.32	$1,190.72
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 $791.36 / $1,011.98 / $1,673.10	Professional		$791.36	$1,011.98	$1,673.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $920.34 / $964.67 / $12,325.00	Professional		$920.34	$964.67	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $965.68	Facility		$900.00	$900.00	$965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.79 / $1,111.50 / $1,856.60	Professional		$835.79	$1,111.50	$1,856.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.41 / $1,043.72 / $1,232.22	Professional		$815.41	$1,043.72	$1,232.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $890.32 / $1,121.86 / $1,629.29	Facility		$890.32	$1,121.86	$1,629.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,051.00 / $1,202.00 / $1,638.00	Professional		$1,051.00	$1,202.00	$1,638.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $826.71 / $1,085.04 / $3,689.94	Facility		$826.71	$1,085.04	$3,689.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $826.71 / $1,085.04 / $3,689.94	Professional		$826.71	$1,085.04	$3,689.94
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 $660.80 / $1,069.88 / $1,635.91	Professional		$660.80	$1,069.88	$1,635.91