Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $7,345.00 / $20,266.90	Facility		$1,749.00	$7,345.00	$20,266.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.48 / $1,572.06 / $2,372.91	Professional		$1,154.48	$1,572.06	$2,372.91
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 $1,194.59 / $1,524.44 / $2,146.31	Professional		$1,194.59	$1,524.44	$2,146.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,400.28 / $2,762.74 / $9,638.00	Professional		$1,400.28	$2,762.74	$9,638.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.31 / $1,473.31 / $1,473.31	Facility		$1,473.31	$1,473.31	$1,473.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.63 / $146.63 / $146.63	Facility	AS	$146.63	$146.63	$146.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.25 / $1,812.98 / $2,510.12	Professional		$1,271.25	$1,812.98	$2,510.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,215.52 / $1,430.02 / $1,850.15	Professional		$1,215.52	$1,430.02	$1,850.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,217.69 / $1,769.08 / $2,440.69	Facility		$1,217.69	$1,769.08	$2,440.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $375.49 / $415.56 / $749.04	Facility	80	$375.49	$415.56	$749.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $262.83 / $290.89 / $524.33	Facility	AS	$262.83	$290.89	$524.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,658.00 / $2,064.00 / $3,091.68	Professional		$1,658.00	$2,064.00	$3,091.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,321.57 / $1,831.14 / $9,929.00	Facility		$1,321.57	$1,831.14	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,321.57 / $1,831.14 / $9,929.00	Professional		$1,321.57	$1,831.14	$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 $1,016.52 / $1,409.02 / $2,455.91	Professional		$1,016.52	$1,409.02	$2,455.91