Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.42 / $8,027.44 / $11,425.00	Facility		$1,434.42	$8,027.44	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.35 / $1,354.55 / $2,640.95	Professional		$993.35	$1,354.55	$2,640.95
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 $1,026.94 / $1,328.16 / $1,845.07	Professional		$1,026.94	$1,328.16	$1,845.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,203.77 / $2,376.13 / $6,694.00	Professional		$1,203.77	$2,376.13	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.49 / $1,266.49 / $1,266.49	Facility		$1,266.49	$1,266.49	$1,266.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.05 / $126.05 / $126.05	Facility	AS	$126.05	$126.05	$126.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.64 / $1,519.25 / $2,157.32	Professional		$1,045.64	$1,519.25	$2,157.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,045.64 / $1,230.16 / $1,591.41	Professional		$1,045.64	$1,230.16	$1,591.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.44 / $1,528.30 / $2,100.06	Facility		$1,047.44	$1,528.30	$2,100.06
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $322.75 / $361.42 / $643.76	Facility	80	$322.75	$361.42	$643.76
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $225.92 / $252.99 / $450.63	Facility	AS	$225.92	$252.99	$450.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,426.00 / $1,789.00 / $2,657.93	Professional		$1,426.00	$1,789.00	$2,657.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,135.88 / $1,572.22 / $9,929.00	Facility		$1,135.88	$1,572.22	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,135.88 / $1,572.22 / $9,929.00	Professional		$1,135.88	$1,572.22	$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 $873.65 / $1,164.85 / $2,026.86	Professional		$873.65	$1,164.85	$2,026.86