Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.38 / $3,645.00 / $8,294.00	Facility		$1,474.38	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.21 / $1,350.37 / $1,609.61	Professional		$1,167.21	$1,350.37	$1,609.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.13 / $1,423.45 / $2,353.38	Professional		$1,113.13	$1,423.45	$2,353.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,341.77 / $1,431.48 / $7,889.00	Professional		$1,341.77	$1,431.48	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,370.78	Facility		$572.00	$572.00	$1,370.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.97 / $1,661.98 / $2,708.51	Professional		$1,189.97	$1,661.98	$2,708.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.34 / $1,485.25 / $1,718.85	Professional		$1,160.34	$1,485.25	$1,718.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,253.22 / $1,715.25 / $2,444.10	Facility		$1,253.22	$1,715.25	$2,444.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,651.00 / $1,847.00 / $2,549.00	Professional		$1,651.00	$1,847.00	$2,549.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,161.53 / $1,649.73 / $5,453.13	Facility		$1,161.53	$1,649.73	$5,453.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,161.53 / $1,649.73 / $5,453.13	Professional		$1,161.53	$1,649.73	$5,453.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.33 / $1,589.27 / $2,425.31	Professional		$997.33	$1,589.27	$2,425.31