Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.59 / $5,412.00 / $11,024.00	Facility		$1,866.59	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,545.73 / $1,717.39 / $2,183.60	Professional		$1,545.73	$1,717.39	$2,183.60
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 $1,513.88 / $1,935.92 / $3,200.65	Professional		$1,513.88	$1,935.92	$3,200.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,823.93 / $1,830.30 / $5,146.00	Professional		$1,823.93	$1,830.30	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,858.64	Facility		$640.00	$640.00	$1,858.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,593.54 / $2,163.78 / $3,600.66	Professional		$1,593.54	$2,163.78	$3,600.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,554.67 / $1,989.98 / $2,316.96	Professional		$1,554.67	$1,989.98	$2,316.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,694.21 / $2,183.91 / $3,301.67	Facility		$1,694.21	$2,183.91	$3,301.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,138.55 / $2,385.00 / $3,055.00	Professional		$2,138.55	$2,385.00	$3,055.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,557.02 / $2,149.44 / $6,585.00	Facility		$1,557.02	$2,149.44	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,557.02 / $2,149.44 / $6,585.00	Professional		$1,557.02	$2,149.44	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,074.00 / $21,639.00	Facility		$6,423.00	$11,074.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.22 / $2,046.12 / $3,117.64	Professional		$1,288.22	$2,046.12	$3,117.64