Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.42 / $5,282.00 / $11,425.00	Facility		$1,424.42	$5,282.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.91 / $855.91 / $1,146.11	Professional		$746.91	$855.91	$1,146.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $27,843.00 / $30,195.00	Facility		$21,861.00	$27,843.00	$30,195.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.86 / $974.25 / $1,610.72	Professional		$761.86	$974.25	$1,610.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $890.83 / $962.10 / $19,314.00	Professional		$890.83	$962.10	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $929.96	Facility		$900.00	$900.00	$929.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.74 / $1,052.16 / $1,782.40	Professional		$804.74	$1,052.16	$1,782.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.11 / $1,004.94 / $1,185.98	Professional		$785.11	$1,004.94	$1,185.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $855.91 / $1,079.10 / $1,610.67	Facility		$855.91	$1,079.10	$1,610.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,146.10 / $1,586.00	Professional		$1,012.00	$1,146.10	$1,586.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $766.86 / $1,043.95 / $3,542.40	Facility		$766.86	$1,043.95	$3,542.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $766.86 / $1,043.95 / $3,542.40	Professional		$766.86	$1,043.95	$3,542.40
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 $639.44 / $1,010.72 / $1,562.38	Professional		$639.44	$1,010.72	$1,562.38