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 / $1,649.02 / $2,018.91	Professional		$1,290.88	$1,649.02	$2,018.91
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 $1,192.00 / $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 / $1,602.52 / $12,325.00	Professional		$1,402.01	$1,602.52	$12,325.00
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 / $2,103.81 / $3,401.05	Professional		$1,395.88	$2,103.81	$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 / $3,253.93	Facility		$1,527.19	$2,128.67	$3,253.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,161.21 / $2,559.00 / $3,085.00	Professional		$2,161.21	$2,559.00	$3,085.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,316.34 / $1,925.07 / $5,855.89	Facility		$1,316.34	$1,925.07	$5,855.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,587.66 / $2,238.48 / $6,585.00	Professional		$1,587.66	$2,238.48	$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 $1,328.09 / $2,131.89 / $3,338.55	Professional		$1,328.09	$2,131.89	$3,338.55