Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.31 / $5,412.00 / $11,024.00	Facility		$1,094.31	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.78 / $1,023.27 / $1,508.03	Professional		$880.78	$1,023.27	$1,508.03
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 $911.22 / $1,165.25 / $1,926.50	Professional		$911.22	$1,165.25	$1,926.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,067.60 / $1,107.74 / $4,646.00	Professional		$1,067.60	$1,107.74	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.98 / $1,112.98 / $1,700.00	Facility		$1,112.98	$1,112.98	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.01 / $1,238.98 / $2,150.89	Professional		$937.01	$1,238.98	$2,150.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.16 / $1,202.11 / $1,416.42	Professional		$939.16	$1,202.11	$1,416.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,021.68 / $1,270.41 / $1,809.06	Facility		$1,021.68	$1,270.41	$1,809.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,222.00 / $1,381.42 / $1,901.00	Professional		$1,222.00	$1,381.42	$1,901.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $941.92 / $1,238.52 / $4,186.95	Facility		$941.92	$1,238.52	$4,186.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $941.92 / $1,238.52 / $4,186.95	Professional		$941.92	$1,238.52	$4,186.95
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 $746.91 / $1,166.18 / $1,882.45	Professional		$746.91	$1,166.18	$1,882.45