Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.88 / $1,672.52 / $3,993.43	Facility		$1,290.88	$1,672.52	$3,993.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.88 / $1,651.73 / $2,070.32	Professional		$1,290.88	$1,651.73	$2,070.32
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 $1,192.00 / $1,501.26 / $2,482.03	Professional		$1,192.00	$1,501.26	$2,482.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,402.01 / $1,490.00 / $2,764.00	Professional		$1,402.01	$1,490.00	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,222.92	Facility		$640.00	$640.00	$2,222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.88 / $2,117.87 / $3,401.05	Professional		$1,395.88	$2,117.87	$3,401.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,527.19 / $1,954.80 / $2,266.33	Professional		$1,527.19	$1,954.80	$2,266.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,527.19 / $2,128.67 / $3,264.21	Facility		$1,527.19	$2,128.67	$3,264.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,161.21 / $2,569.00 / $3,085.00	Professional		$2,161.21	$2,569.00	$3,085.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,316.34 / $1,930.87 / $5,855.89	Facility		$1,316.34	$1,930.87	$5,855.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,587.66 / $2,307.90 / $6,585.00	Professional		$1,587.66	$2,307.90	$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 $1,334.97 / $2,151.01 / $3,560.77	Professional		$1,334.97	$2,151.01	$3,560.77