Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,347.59	Facility		$1,538.00	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.56 / $923.85 / $1,356.52	Professional		$769.56	$923.85	$1,356.52
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 $818.71 / $1,046.95 / $1,730.92	Professional		$818.71	$1,046.95	$1,730.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.48 / $1,010.58 / $7,889.00	Professional		$912.48	$1,010.58	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $993.19	Facility		$776.00	$776.00	$993.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.61 / $1,106.44 / $1,900.48	Professional		$843.61	$1,106.44	$1,900.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.65 / $1,079.55 / $1,275.83	Professional		$836.65	$1,079.55	$1,275.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $869.78 / $1,080.90 / $1,690.65	Facility		$869.78	$1,080.90	$1,690.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,025.00 / $1,180.00 / $1,640.00	Professional		$1,025.00	$1,180.00	$1,640.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $847.57 / $1,092.01 / $3,697.40	Facility		$847.57	$1,092.01	$3,697.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $847.57 / $1,092.01 / $3,697.40	Professional		$847.57	$1,092.01	$3,697.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.61 / $1,121.69 / $1,611.56	Professional		$671.61	$1,121.69	$1,611.56