Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.93 / $7,266.00 / $14,187.00	Facility		$1,649.93	$7,266.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.52 / $1,515.38 / $2,144.77	Professional		$1,315.52	$1,515.38	$2,144.77
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 $1,311.05 / $1,676.54 / $2,771.82	Professional		$1,311.05	$1,676.54	$2,771.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,677.25 / $1,731.28 / $5,146.00	Professional		$1,677.25	$1,731.28	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,599.88	Facility		$640.00	$640.00	$1,599.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.51 / $1,861.96 / $3,119.80	Professional		$1,374.51	$1,861.96	$3,119.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,361.81 / $1,743.12 / $2,029.92	Professional		$1,361.81	$1,743.12	$2,029.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,476.59 / $1,909.20 / $3,019.37	Facility		$1,476.59	$1,909.20	$3,019.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,863.00 / $2,096.00 / $2,904.00	Professional		$1,863.00	$2,096.00	$2,904.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,356.38 / $1,843.82 / $6,073.71	Facility		$1,356.38	$1,843.82	$6,073.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,356.38 / $1,843.82 / $6,073.71	Professional		$1,356.38	$1,843.82	$6,073.71
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 $1,097.69 / $1,755.98 / $2,774.07	Professional		$1,097.69	$1,755.98	$2,774.07