Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.30 / $8,294.00 / $14,040.91	Facility		$1,031.30	$8,294.00	$14,040.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.98 / $965.80 / $1,892.96	Professional		$822.98	$965.80	$1,892.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.66 / $1,098.04 / $1,815.38	Professional		$858.66	$1,098.04	$1,815.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,054.28 / $1,100.84 / $17,559.00	Professional		$1,054.28	$1,100.84	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,048.25	Facility		$640.00	$640.00	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.95 / $1,170.10 / $2,017.59	Professional		$906.95	$1,170.10	$2,017.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.83 / $1,132.58 / $1,336.48	Professional		$884.83	$1,132.58	$1,336.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $950.05 / $1,206.90 / $1,808.07	Facility		$950.05	$1,206.90	$1,808.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,292.00 / $1,783.00	Professional		$1,144.00	$1,292.00	$1,783.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $853.17 / $1,166.14 / $4,010.03	Facility		$853.17	$1,166.14	$4,010.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $853.17 / $1,166.14 / $4,010.03	Professional		$853.17	$1,166.14	$4,010.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.53 / $1,095.79 / $1,768.82	Professional		$708.53	$1,095.79	$1,768.82