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 $880.37 / $1,015.11 / $1,466.83	Professional		$880.37	$1,015.11	$1,466.83
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 $903.23 / $1,155.03 / $1,909.61	Professional		$903.23	$1,155.03	$1,909.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,055.46 / $1,099.26 / $15,406.00	Professional		$1,055.46	$1,099.26	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,101.82	Facility		$776.00	$776.00	$1,101.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.30 / $1,234.15 / $2,128.29	Professional		$953.30	$1,234.15	$2,128.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.05 / $1,190.46 / $1,403.68	Professional		$930.05	$1,190.46	$1,403.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,011.16 / $1,282.83 / $1,900.39	Facility		$1,011.16	$1,282.83	$1,900.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,207.00 / $1,362.00 / $1,878.00	Professional		$1,207.00	$1,362.00	$1,878.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $943.07 / $1,227.66 / $4,230.10	Facility		$943.07	$1,227.66	$4,230.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $943.07 / $1,227.66 / $4,230.10	Professional		$943.07	$1,227.66	$4,230.10
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 $748.70 / $1,148.00 / $1,864.74	Professional		$748.70	$1,148.00	$1,864.74