Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.95 / $7,195.00 / $20,804.75	Facility		$1,542.95	$7,195.00	$20,804.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.54 / $1,380.34 / $1,921.48	Professional		$1,208.54	$1,380.34	$1,921.48
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 $1,221.61 / $1,562.18 / $2,582.75	Professional		$1,221.61	$1,562.18	$2,582.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,562.06 / $1,619.48 / $3,157.99	Professional		$1,562.06	$1,619.48	$3,157.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,491.55	Facility		$640.00	$640.00	$1,491.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.64 / $1,717.82 / $2,933.96	Professional		$1,282.64	$1,717.82	$2,933.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.72 / $1,627.80 / $1,894.87	Professional		$1,271.72	$1,627.80	$1,894.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,370.91 / $1,786.34 / $2,623.02	Facility		$1,370.91	$1,786.34	$2,623.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,702.00 / $1,917.00 / $2,657.00	Professional		$1,702.00	$1,917.00	$2,657.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,271.73 / $1,703.02 / $5,711.85	Facility		$1,271.73	$1,703.02	$5,711.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,271.73 / $1,703.02 / $5,711.85	Professional		$1,271.73	$1,703.02	$5,711.85
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 $1,091.42 / $1,728.29 / $2,728.56	Professional		$1,091.42	$1,728.29	$2,728.56