Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.84 / $5,360.00 / $9,975.00	Facility		$1,235.84	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.54 / $1,180.05 / $1,400.19	Professional		$1,000.54	$1,180.05	$1,400.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.14 / $1,355.06 / $1,871.94	Professional		$1,044.14	$1,355.06	$1,871.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,188.59 / $1,301.55 / $5,036.00	Professional		$1,188.59	$1,301.55	$5,036.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.21 / $1,304.06 / $2,301.34	Professional		$1,087.21	$1,304.06	$2,301.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.38 / $1,343.88 / $1,599.86	Professional		$1,213.38	$1,343.88	$1,599.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.08 / $1,292.03 / $1,807.10	Facility		$1,023.08	$1,292.03	$1,807.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,372.00 / $1,547.00 / $2,659.00	Professional		$1,372.00	$1,547.00	$2,659.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,103.08 / $1,417.50 / $7,030.19	Facility		$1,103.08	$1,417.50	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,103.08 / $1,417.50 / $7,030.19	Professional		$1,103.08	$1,417.50	$7,030.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.11 / $1,198.90 / $2,075.17	Professional		$881.11	$1,198.90	$2,075.17