Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.36 / $5,301.00 / $13,701.00	Facility		$1,184.36	$5,301.00	$13,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.37 / $1,100.46 / $1,444.93	Professional		$961.37	$1,100.46	$1,444.93
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 $979.44 / $1,252.49 / $2,070.73	Professional		$979.44	$1,252.49	$2,070.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,193.23 / $1,238.32 / $7,889.00	Professional		$1,193.23	$1,238.32	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,196.30	Facility		$640.00	$640.00	$1,196.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.92 / $1,337.28 / $2,303.07	Professional		$1,011.92	$1,337.28	$2,303.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,009.94 / $1,292.72 / $1,525.68	Professional		$1,009.94	$1,292.72	$1,525.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,075.46 / $1,384.70 / $1,981.81	Facility		$1,075.46	$1,384.70	$1,981.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,293.00 / $1,463.00 / $1,954.00	Professional		$1,293.00	$1,463.00	$1,954.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,330.64 / $4,483.25	Facility		$1,009.94	$1,330.64	$4,483.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,009.94 / $1,330.64 / $4,483.25	Professional		$1,009.94	$1,330.64	$4,483.25
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 $813.37 / $1,295.76 / $2,062.80	Professional		$813.37	$1,295.76	$2,062.80