Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.87 / $5,360.00 / $9,347.59	Facility		$1,449.87	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.20 / $872.86 / $1,164.76	Professional		$754.20	$872.86	$1,164.76
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 $775.07 / $991.15 / $1,638.66	Professional		$775.07	$991.15	$1,638.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $901.04 / $985.00 / $6,433.00	Professional		$901.04	$985.00	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $946.32	Facility		$776.00	$776.00	$946.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.28 / $1,092.83 / $1,815.01	Professional		$807.28	$1,092.83	$1,815.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.23 / $1,023.01 / $1,208.39	Professional		$799.23	$1,023.01	$1,208.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $865.91 / $1,097.59 / $1,624.00	Facility		$865.91	$1,097.59	$1,624.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,159.00 / $1,603.00	Professional		$1,017.00	$1,159.00	$1,603.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $813.71 / $1,050.07 / $3,607.22	Facility		$813.71	$1,050.07	$3,607.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $813.71 / $1,050.07 / $3,607.22	Professional		$813.71	$1,050.07	$3,607.22
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.49 / $1,014.35 / $1,597.20	Professional		$638.49	$1,014.35	$1,597.20