Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.96 / $4,771.00 / $9,539.00	Facility		$1,226.96	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.16 / $1,152.60 / $1,460.03	Professional		$910.16	$1,152.60	$1,460.03
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 $1,000.24 / $1,307.51 / $2,161.69	Professional		$1,000.24	$1,307.51	$2,161.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,248.88 / $2,360.38	Professional		$916.00	$1,248.88	$2,360.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,247.64	Facility		$640.00	$640.00	$1,247.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.67 / $1,317.62 / $2,394.46	Professional		$1,015.67	$1,317.62	$2,394.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.71 / $1,348.75 / $1,593.40	Professional		$1,053.71	$1,348.75	$1,593.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,053.71 / $1,376.49 / $2,055.39	Facility		$1,053.71	$1,376.49	$2,055.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,171.00 / $1,470.00 / $2,043.00	Professional		$1,171.00	$1,470.00	$2,043.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $901.40 / $1,308.44 / $4,661.22	Facility		$901.40	$1,308.44	$4,661.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $901.40 / $1,308.44 / $4,661.22	Professional		$901.40	$1,308.44	$4,661.22
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 $822.05 / $1,328.87 / $2,150.37	Professional		$822.05	$1,328.87	$2,150.37