Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,888.44 / $10,964.78	Facility		$1,380.38	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,041.74	Professional		$776.25	$1,288.25	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,290.87	Professional		$912.01	$1,288.25	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $12,022.64	Professional		$1,174.90	$1,819.70	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,235.94	Professional		$1,122.02	$1,584.89	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,995.26	Professional		$1,348.96	$1,621.81	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,344.23	Facility		$1,071.52	$1,513.56	$2,344.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $11,481.54	Facility		$1,258.93	$2,089.30	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $11,481.54	Professional		$1,258.93	$2,089.30	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $2,344.23	Professional		$645.65	$1,096.48	$2,344.23