Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.78 / $5,571.00 / $14,867.45	Facility		$1,232.78	$5,571.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.23 / $1,232.78 / $2,388.48	Professional		$1,023.23	$1,232.78	$2,388.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,956.00 / $8,957.00 / $9,658.00	Facility		$6,956.00	$8,957.00	$9,658.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.12 / $1,244.05 / $1,733.96	Professional		$977.12	$1,244.05	$1,733.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,310.08 / $2,671.15 / $24,904.76	Professional		$1,310.08	$2,671.15	$24,904.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,495.00 / $14,985.00 / $40,100.00	Facility		$8,495.00	$14,985.00	$40,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.03 / $1,400.63 / $2,694.52	Professional		$1,094.03	$1,400.63	$2,694.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,007.19 / $1,208.63 / $1,490.64	Professional		$1,007.19	$1,208.63	$1,490.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.85 / $1,456.92 / $2,013.92	Facility		$1,047.85	$1,456.92	$2,013.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,363.00 / $1,528.00 / $2,478.00	Professional		$1,363.00	$1,528.00	$2,478.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,054.44 / $1,394.65 / $9,929.00	Facility		$1,054.44	$1,394.65	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,054.44 / $1,394.65 / $9,929.00	Professional		$1,054.44	$1,394.65	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,499.00 / $12,803.00 / $26,537.00	Facility		$7,499.00	$12,803.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.91 / $1,461.06 / $2,360.66	Professional		$960.91	$1,461.06	$2,360.66