Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.68 / $5,412.00 / $11,024.00	Facility		$1,356.68	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.45 / $1,342.03 / $1,515.98	Professional		$1,148.45	$1,342.03	$1,515.98
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 $1,723.27 / $2,187.81 / $3,643.34	Professional		$1,723.27	$2,187.81	$3,643.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,462.00 / $7,257.00 / $8,530.00	Professional		$5,462.00	$7,257.00	$8,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,339.50	Facility		$640.00	$640.00	$1,339.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,578.48 / $5,578.48 / $5,578.48	Professional		$5,578.48	$5,578.48	$5,578.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,121.76 / $1,435.39 / $1,660.20	Professional		$1,121.76	$1,435.39	$1,660.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,134.67 / $1,438.08 / $2,220.54	Facility		$1,134.67	$1,438.08	$2,220.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,637.56 / $2,076.62 / $2,770.34	Professional		$1,637.56	$2,076.62	$2,770.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $913.53 / $1,475.08 / $7,902.00	Facility		$913.53	$1,475.08	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $913.53 / $1,475.08 / $7,902.00	Professional		$913.53	$1,475.08	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.30 / $1,632.95 / $2,433.42	Professional		$1,019.30	$1,632.95	$2,433.42