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 $946.66 / $1,082.08 / $1,459.35	Professional		$946.66	$1,082.08	$1,459.35
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 $963.15 / $1,231.66 / $2,036.30	Professional		$963.15	$1,231.66	$2,036.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,126.97 / $1,172.02 / $7,889.00	Professional		$1,126.97	$1,172.02	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,175.09	Facility		$900.00	$900.00	$1,175.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.62 / $1,328.11 / $2,269.48	Professional		$1,016.62	$1,328.11	$2,269.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.83 / $1,269.54 / $1,496.83	Professional		$991.83	$1,269.54	$1,496.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,065.85 / $1,360.60 / $1,959.06	Facility		$1,065.85	$1,360.60	$1,959.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,458.19 / $2,007.00	Professional		$1,275.00	$1,458.19	$2,007.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,013.98 / $1,311.74 / $4,417.85	Facility		$1,013.98	$1,311.74	$4,417.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,013.98 / $1,311.74 / $4,417.85	Professional		$1,013.98	$1,311.74	$4,417.85
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 $798.37 / $1,247.04 / $1,988.15	Professional		$798.37	$1,247.04	$1,988.15