Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.58 / $5,412.00 / $11,425.00	Facility		$1,175.58	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.30 / $1,086.45 / $1,481.73	Professional		$976.30	$1,086.45	$1,481.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.92 / $1,235.20 / $2,042.15	Professional		$965.92	$1,235.20	$2,042.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,197.51 / $1,231.67 / $9,951.00	Professional		$1,197.51	$1,231.67	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,183.90	Facility		$640.00	$640.00	$1,183.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.97 / $1,427.98 / $2,299.44	Professional		$1,027.97	$1,427.98	$2,299.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.33 / $1,270.18 / $1,492.40	Professional		$992.33	$1,270.18	$1,492.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,086.45 / $1,405.18 / $2,125.00	Facility		$1,086.45	$1,405.18	$2,125.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,503.00 / $2,025.00	Professional		$1,275.00	$1,503.00	$2,025.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,036.05 / $1,410.10 / $4,476.24	Facility		$1,036.05	$1,410.10	$4,476.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,036.05 / $1,410.10 / $4,476.24	Professional		$1,036.05	$1,410.10	$4,476.24
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 $862.83 / $1,392.50 / $2,225.57	Professional		$862.83	$1,392.50	$2,225.57