Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.58 / $5,412.00 / $11,024.00	Facility		$1,657.58	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.51 / $1,475.71 / $1,876.19	Professional		$1,317.51	$1,475.71	$1,876.19
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 $1,303.68 / $1,667.11 / $2,756.23	Professional		$1,303.68	$1,667.11	$2,756.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,594.95 / $1,662.50 / $7,889.00	Professional		$1,594.95	$1,662.50	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,596.46	Facility		$640.00	$640.00	$1,596.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.83 / $1,815.94 / $3,146.14	Professional		$1,357.83	$1,815.94	$3,146.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.83 / $1,738.02 / $2,018.20	Professional		$1,357.83	$1,738.02	$2,018.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,466.04 / $1,894.79 / $3,033.37	Facility		$1,466.04	$1,894.79	$3,033.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,816.00 / $2,080.00 / $2,683.00	Professional		$1,816.00	$2,080.00	$2,683.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,311.00 / $1,794.31 / $6,123.54	Facility		$1,311.00	$1,794.31	$6,123.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,311.00 / $1,794.31 / $6,123.54	Professional		$1,311.00	$1,794.31	$6,123.54
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 $1,083.49 / $1,697.29 / $2,721.30	Professional		$1,083.49	$1,697.29	$2,721.30