Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,077.39 / $7,606.00 / $14,798.00	Facility		$2,077.39	$7,606.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.34 / $1,408.76 / $2,706.37	Professional		$1,034.34	$1,408.76	$2,706.37
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 $1,068.54 / $1,382.57 / $1,919.83	Professional		$1,068.54	$1,382.57	$1,919.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,251.96 / $2,474.59 / $8,031.00	Professional		$1,251.96	$2,474.59	$8,031.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.51 / $1,318.51 / $1,318.51	Facility		$1,318.51	$1,318.51	$1,318.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.16 / $131.16 / $131.16	Facility	AS	$131.16	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.89 / $1,675.15 / $2,246.32	Professional		$1,138.89	$1,675.15	$2,246.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.50 / $1,280.58 / $1,657.19	Professional		$1,088.50	$1,280.58	$1,657.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,118.07 / $1,661.51 / $3,103.00	Facility		$1,118.07	$1,661.51	$3,103.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $335.88 / $416.49 / $1,059.59	Facility	80	$335.88	$416.49	$1,059.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $235.11 / $291.54 / $741.72	Facility	AS	$235.11	$291.54	$741.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,486.00 / $1,919.00 / $2,334.66	Professional		$1,486.00	$1,919.00	$2,334.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,182.31 / $1,737.14 / $9,929.00	Facility		$1,182.31	$1,737.14	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,182.31 / $1,737.14 / $9,929.00	Professional		$1,182.31	$1,737.14	$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 $909.69 / $1,273.57 / $2,388.96	Professional		$909.69	$1,273.57	$2,388.96