Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.10 / $7,752.55 / $14,910.27	Facility		$1,482.10	$7,752.55	$14,910.27
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $765.51 / $765.51 / $2,326.77	Facility	54	$765.51	$765.51	$2,326.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.97 / $1,245.22 / $3,187.05	Professional		$915.97	$1,245.22	$3,187.05
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 $1,052.55 / $1,351.94 / $1,910.56	Professional		$1,052.55	$1,351.94	$1,910.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,246.80 / $2,440.96 / $6,694.00	Professional		$1,246.80	$2,440.96	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,311.10 / $1,311.10 / $1,311.10	Facility		$1,311.10	$1,311.10	$1,311.10
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $913.68 / $913.68 / $913.68	Facility	54	$913.68	$913.68	$913.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.71 / $1,376.13 / $2,217.71	Professional		$1,043.71	$1,376.13	$2,217.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.34 / $1,276.88 / $1,651.35	Professional		$1,085.34	$1,276.88	$1,651.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,081.92 / $1,397.56 / $2,130.42	Facility		$1,081.92	$1,397.56	$2,130.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $267.08 / $276.08 / $661.86	Facility	80	$267.08	$276.08	$661.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,465.00 / $1,618.00 / $2,179.00	Professional		$1,465.00	$1,618.00	$2,179.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,050.08 / $1,394.73 / $9,929.00	Facility		$1,050.08	$1,394.73	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,050.08 / $1,394.73 / $9,929.00	Professional		$1,050.08	$1,394.73	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.23 / $1,165.60 / $2,083.60	Professional		$838.23	$1,165.60	$2,083.60