Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.28 / $5,587.00 / $11,425.00	Facility		$1,395.28	$5,587.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.53 / $1,395.28 / $1,428.81	Professional		$1,288.53	$1,395.28	$1,428.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,976.00 / $37,782.72 / $52,623.67	Facility		$13,976.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.63 / $1,466.29 / $2,442.83	Professional		$1,146.63	$1,466.29	$2,442.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14,876.00 / $17,559.00 / $22,492.00	Professional		$14,876.00	$17,559.00	$22,492.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,555.88	Facility		$640.00	$640.00	$1,555.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,478.08 / $6,478.08 / $6,478.08	Professional		$6,478.08	$6,478.08	$6,478.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.46 / $1,583.46 / $1,831.43	Professional		$1,237.46	$1,583.46	$1,831.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,238.23 / $1,479.00 / $2,414.69	Facility		$1,238.23	$1,479.00	$2,414.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,796.35 / $2,277.98 / $3,217.94	Professional		$1,796.35	$2,277.98	$3,217.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,318.99 / $1,759.33 / $5,737.58	Facility		$1,318.99	$1,759.33	$5,737.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.99 / $1,759.33 / $5,737.58	Professional		$1,318.99	$1,759.33	$5,737.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $12,350.00 / $26,537.00	Facility		$7,408.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.69 / $1,682.45 / $2,657.36	Professional		$1,077.69	$1,682.45	$2,657.36