Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,585.97 / $5,388.00 / $11,024.00	Facility		$1,585.97	$5,388.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.57 / $1,449.31 / $1,975.40	Professional		$1,272.57	$1,449.31	$1,975.40
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 $1,253.58 / $1,603.05 / $2,650.32	Professional		$1,253.58	$1,603.05	$2,650.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,601.97 / $1,666.99 / $7,889.00	Professional		$1,601.97	$1,666.99	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,531.60	Facility		$640.00	$640.00	$1,531.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.59 / $1,705.36 / $3,015.50	Professional		$1,337.59	$1,705.36	$3,015.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,304.96 / $1,670.35 / $1,943.38	Professional		$1,304.96	$1,670.35	$1,943.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,407.66 / $1,816.60 / $2,696.15	Facility		$1,407.66	$1,816.60	$2,696.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,769.00 / $1,977.00 / $2,730.00	Professional		$1,769.00	$1,977.00	$2,730.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $1,744.85 / $5,870.63	Facility		$1,291.00	$1,744.85	$5,870.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,291.00 / $1,744.85 / $5,870.63	Professional		$1,291.00	$1,744.85	$5,870.63
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 $1,027.78 / $1,697.28 / $2,614.71	Professional		$1,027.78	$1,697.28	$2,614.71