Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,128.61 / $15,488.17	Facility		$1,258.93	$5,128.61	$15,488.17
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility	52	$7,585.78	$7,585.78	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $5,011.87	Professional		$977.24	$1,230.27	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $8,317.64	Professional		$1,071.52	$1,659.59	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,187.76	Professional		$933.25	$1,258.93	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,818.38	Professional		$891.25	$1,122.02	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,454.71	Professional		$1,071.52	$1,513.56	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,187.76	Facility		$1,023.29	$1,348.96	$2,187.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,318.26 / $10,000.00	Facility		$870.96	$1,318.26	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $10,000.00	Professional		$870.96	$1,318.26	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,041.74	Professional		$776.25	$1,258.93	$2,041.74