Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.08 / $1,594.81 / $3,700.22	Facility		$1,203.08	$1,594.81	$3,700.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.08 / $1,550.24 / $1,935.25	Professional		$1,203.08	$1,550.24	$1,935.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.17 / $1,399.47 / $2,313.73	Professional		$1,111.17	$1,399.47	$2,313.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,310.20 / $1,465.46 / $3,714.00	Professional		$1,310.20	$1,465.46	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,067.04	Facility		$640.00	$640.00	$2,067.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.83 / $2,005.01 / $3,196.55	Professional		$1,314.83	$2,005.01	$3,196.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,512.30 / $1,935.74 / $2,256.14	Professional		$1,512.30	$1,935.74	$2,256.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,480.24 / $2,025.10 / $3,002.75	Facility		$1,480.24	$2,025.10	$3,002.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,122.66 / $2,482.00 / $2,996.00	Professional		$2,122.66	$2,482.00	$2,996.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,235.05 / $1,792.01 / $5,432.32	Facility		$1,235.05	$1,792.01	$5,432.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,553.18 / $2,175.08 / $6,585.00	Professional		$1,553.18	$2,175.08	$6,585.00
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 $1,301.61 / $1,987.28 / $3,161.38	Professional		$1,301.61	$1,987.28	$3,161.38