Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.07 / $5,040.00 / $10,637.11	Facility		$1,479.07	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $866.26 / $1,099.07	Professional		$679.20	$866.26	$1,099.07
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 $770.79 / $991.54 / $1,639.31	Professional		$770.79	$991.54	$1,639.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $833.32 / $933.32 / $6,433.00	Professional		$833.32	$933.32	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $940.62	Facility		$900.00	$900.00	$940.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.53 / $1,055.47 / $1,803.06	Professional		$795.53	$1,055.47	$1,803.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.56 / $1,025.88 / $1,212.41	Professional		$793.56	$1,025.88	$1,212.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $830.67 / $1,038.50 / $1,585.26	Facility		$830.67	$1,038.50	$1,585.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $940.00 / $1,113.44 / $1,555.00	Professional		$940.00	$1,113.44	$1,555.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $797.27 / $1,039.11 / $3,483.47	Facility		$797.27	$1,039.11	$3,483.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $797.27 / $1,039.11 / $3,483.47	Professional		$797.27	$1,039.11	$3,483.47
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 $634.88 / $1,027.69 / $1,604.58	Professional		$634.88	$1,027.69	$1,604.58