Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.53 / $5,412.00 / $11,425.00	Facility		$1,438.53	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $1,270.22 / $1,622.55	Professional		$1,133.08	$1,270.22	$1,622.55
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 $1,127.88 / $1,442.31 / $2,384.57	Professional		$1,127.88	$1,442.31	$2,384.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,438.22 / $1,538.54 / $17,559.00	Professional		$1,438.22	$1,538.54	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,381.30	Facility		$640.00	$640.00	$1,381.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.11 / $1,589.72 / $2,729.55	Professional		$1,205.11	$1,589.72	$2,729.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.08 / $1,504.12 / $1,746.37	Professional		$1,175.08	$1,504.12	$1,746.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,261.45 / $1,653.74 / $2,632.51	Facility		$1,261.45	$1,653.74	$2,632.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,478.00 / $1,761.07 / $2,423.00	Professional		$1,478.00	$1,761.07	$2,423.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,179.23 / $1,583.77 / $5,313.82	Facility		$1,179.23	$1,583.77	$5,313.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,179.23 / $1,583.77 / $5,313.82	Professional		$1,179.23	$1,583.77	$5,313.82
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 $952.81 / $1,519.69 / $2,467.39	Professional		$952.81	$1,519.69	$2,467.39