Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.78 / $5,412.00 / $15,165.00	Facility		$1,249.78	$5,412.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.63 / $1,141.64 / $1,249.78	Professional		$611.63	$1,141.64	$1,249.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.67 / $664.56 / $915.28	Professional		$519.67	$664.56	$915.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.77 / $1,029.21 / $6,694.00	Professional		$602.77	$1,029.21	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.26 / $1,315.23 / $2,496.04	Professional		$567.26	$1,315.23	$2,496.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $640.79 / $790.32	Professional		$534.00	$640.79	$790.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.17 / $1,415.92 / $2,172.13	Facility		$616.17	$1,415.92	$2,172.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,319.30 / $1,546.21 / $2,255.00	Professional		$1,319.30	$1,546.21	$2,255.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $793.71 / $1,441.44 / $6,585.00	Facility		$793.71	$1,441.44	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $793.71 / $1,441.44 / $6,585.00	Professional		$793.71	$1,441.44	$6,585.00
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 $880.21 / $1,510.08 / $2,405.19	Professional		$880.21	$1,510.08	$2,405.19