Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.83 / $5,412.00 / $11,425.00	Facility		$1,000.83	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $936.90 / $1,256.77	Professional		$810.61	$936.90	$1,256.77
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 $834.08 / $1,066.59 / $1,763.40	Professional		$834.08	$1,066.59	$1,763.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,022.08 / $1,069.82 / $5,804.00	Professional		$1,022.08	$1,069.82	$5,804.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.12 / $1,018.12 / $1,700.00	Facility		$1,018.12	$1,018.12	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.01 / $1,179.81 / $1,957.64	Professional		$881.01	$1,179.81	$1,957.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.52 / $1,100.19 / $1,298.65	Professional		$859.52	$1,100.19	$1,298.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $932.23 / $1,183.91 / $1,753.97	Facility		$932.23	$1,183.91	$1,753.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,109.00 / $1,256.48 / $1,728.00	Professional		$1,109.00	$1,256.48	$1,728.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $880.93 / $1,142.48 / $3,890.81	Facility		$880.93	$1,142.48	$3,890.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $880.93 / $1,142.48 / $3,890.81	Professional		$880.93	$1,142.48	$3,890.81
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 $688.67 / $1,071.97 / $1,695.03	Professional		$688.67	$1,071.97	$1,695.03