Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,348.50 / $5,412.00 / $11,025.00	Facility		$2,348.50	$5,412.00	$11,025.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.75 / $2,236.30 / $2,864.47	Professional		$1,652.75	$2,236.30	$2,864.47
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 $1,954.55 / $2,528.96 / $4,181.12	Professional		$1,954.55	$2,528.96	$4,181.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,014.64 / $2,256.40 / $7,889.00	Professional		$2,014.64	$2,256.40	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,409.73	Facility		$640.00	$640.00	$2,409.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,868.58 / $2,442.46 / $4,543.83	Professional		$1,868.58	$2,442.46	$4,543.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,996.65 / $2,583.90 / $3,053.70	Professional		$1,996.65	$2,583.90	$3,053.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,048.14 / $2,613.01 / $3,905.05	Facility		$2,048.14	$2,613.01	$3,905.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,347.00 / $2,666.46 / $3,867.00	Professional		$2,347.00	$2,666.46	$3,867.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,750.70 / $2,484.81 / $6,585.00	Facility		$1,750.70	$2,484.81	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,750.70 / $2,484.81 / $6,585.00	Professional		$1,750.70	$2,484.81	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,000.00 / $21,639.00	Facility		$6,398.00	$10,000.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.26 / $2,344.38 / $4,054.25	Professional		$1,488.26	$2,344.38	$4,054.25