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 $882.59 / $1,011.69 / $1,361.99	Professional		$882.59	$1,011.69	$1,361.99
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 $899.84 / $1,150.70 / $1,902.45	Professional		$899.84	$1,150.70	$1,902.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,051.83 / $1,095.20 / $6,433.00	Professional		$1,051.83	$1,095.20	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,098.09	Facility		$776.00	$776.00	$1,098.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.08 / $1,234.78 / $2,120.69	Professional		$950.08	$1,234.78	$2,120.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.91 / $1,186.44 / $1,399.02	Professional		$926.91	$1,186.44	$1,399.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,009.07 / $1,277.99 / $1,893.98	Facility		$1,009.07	$1,277.99	$1,893.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.00 / $1,360.67 / $1,872.00	Professional		$1,202.00	$1,360.67	$1,872.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $930.51 / $1,234.64 / $4,215.01	Facility		$930.51	$1,234.64	$4,215.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $930.51 / $1,234.64 / $4,215.01	Professional		$930.51	$1,234.64	$4,215.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,439.00 / $21,639.00	Facility		$6,398.00	$10,439.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.62 / $1,172.45 / $1,858.20	Professional		$746.62	$1,172.45	$1,858.20