Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.82 / $5,412.00 / $11,024.00	Facility		$1,654.82	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.03 / $1,456.56 / $1,854.04	Professional		$1,346.03	$1,456.56	$1,854.04
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 $1,291.99 / $1,652.17 / $2,731.53	Professional		$1,291.99	$1,652.17	$2,731.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,650.35 / $1,714.63 / $7,889.00	Professional		$1,650.35	$1,714.63	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,579.28	Facility		$640.00	$640.00	$1,579.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.98 / $1,768.82 / $3,132.22	Professional		$1,351.98	$1,768.82	$3,132.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,345.00 / $1,721.60 / $2,002.10	Professional		$1,345.00	$1,721.60	$2,002.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,454.06 / $1,889.27 / $2,813.19	Facility		$1,454.06	$1,889.27	$2,813.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,835.00 / $2,051.00 / $2,884.00	Professional		$1,835.00	$2,051.00	$2,884.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,337.21 / $1,803.41 / $6,096.43	Facility		$1,337.21	$1,803.41	$6,096.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,337.21 / $1,803.41 / $6,096.43	Professional		$1,337.21	$1,803.41	$6,096.43
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 $1,093.69 / $1,689.52 / $2,712.05	Professional		$1,093.69	$1,689.52	$2,712.05