Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.47 / $5,412.00 / $12,370.60	Facility		$1,452.47	$5,412.00	$12,370.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.08 / $1,390.50 / $1,452.47	Professional		$963.08	$1,390.50	$1,452.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.18 / $1,165.02 / $1,626.13	Professional		$927.18	$1,165.02	$1,626.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,485.20 / $1,485.20 / $2,896.14	Professional		$1,485.20	$1,485.20	$2,896.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,324.14	Facility		$490.00	$610.00	$1,324.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.13 / $1,540.32 / $2,776.17	Professional		$902.13	$1,540.32	$2,776.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.04 / $1,267.09 / $1,562.76	Professional		$1,044.04	$1,267.09	$1,562.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,192.01 / $1,519.94 / $2,309.42	Facility		$1,192.01	$1,519.94	$2,309.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,611.04 / $2,042.99 / $2,269.00	Professional		$1,611.04	$2,042.99	$2,269.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,151.36 / $1,691.31 / $2,768.90	Facility		$1,151.36	$1,691.31	$2,768.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,151.36 / $1,691.31 / $2,768.90	Professional		$1,151.36	$1,691.31	$2,768.90
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $855.14 / $1,345.96 / $2,277.48	Professional		$855.14	$1,345.96	$2,277.48