Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.59 / $5,412.00 / $11,425.00	Facility		$1,138.59	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.42 / $1,084.84 / $1,464.22	Professional		$917.42	$1,084.84	$1,464.22
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 $965.62 / $1,234.81 / $2,041.51	Professional		$965.62	$1,234.81	$2,041.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,189.75 / $1,236.45 / $9,951.00	Professional		$1,189.75	$1,236.45	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,178.07	Facility		$640.00	$640.00	$1,178.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.22 / $1,329.00 / $2,275.60	Professional		$994.22	$1,329.00	$2,275.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $994.22 / $1,272.59 / $1,500.14	Professional		$994.22	$1,272.59	$1,500.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,068.93 / $1,368.32 / $1,985.28	Facility		$1,068.93	$1,368.32	$1,985.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,133.00 / $1,443.00 / $2,011.00	Professional		$1,133.00	$1,443.00	$2,011.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $998.18 / $1,292.50 / $4,429.77	Facility		$998.18	$1,292.50	$4,429.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $998.18 / $1,292.50 / $4,429.77	Professional		$998.18	$1,292.50	$4,429.77
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 $800.51 / $1,265.48 / $1,992.67	Professional		$800.51	$1,265.48	$1,992.67