Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.83 / $6,668.00 / $15,165.00	Facility		$1,100.83	$6,668.00	$15,165.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $550.41 / $550.41 / $1,580.02	Facility	52	$550.41	$550.41	$1,580.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,100.83 / $2,148.04	Professional		$907.79	$1,100.83	$2,148.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $952.71 / $1,218.30 / $1,670.89	Professional		$952.71	$1,218.30	$1,670.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,114.39 / $1,653.15 / $8,031.00	Professional		$1,114.39	$1,653.15	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.36 / $1,300.99 / $2,456.71	Professional		$977.36	$1,300.99	$2,456.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.21 / $1,166.65 / $1,438.87	Professional		$972.21	$1,166.65	$1,438.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,100.83 / $1,351.03 / $1,956.20	Facility		$1,100.83	$1,351.03	$1,956.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,208.00 / $1,367.00 / $2,390.00	Professional		$1,208.00	$1,367.00	$2,390.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $969.81 / $1,309.00 / $6,585.00	Facility		$969.81	$1,309.00	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $969.81 / $1,309.00 / $6,585.00	Professional		$969.81	$1,309.00	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,439.00 / $21,639.00	Facility		$6,398.00	$10,439.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.14 / $1,277.04 / $2,203.12	Professional		$810.14	$1,277.04	$2,203.12