Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,840.32 / $5,412.00 / $11,024.00	Facility		$1,840.32	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.74 / $1,628.46 / $2,081.50	Professional		$1,492.74	$1,628.46	$2,081.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.20 / $1,850.64 / $3,059.66	Professional		$1,447.20	$1,850.64	$3,059.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,803.37 / $3,408.37	Professional		$916.00	$1,803.37	$3,408.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,772.98	Facility		$640.00	$640.00	$1,772.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.04 / $2,072.09 / $3,503.83	Professional		$1,547.04	$2,072.09	$3,503.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,507.21 / $1,929.23 / $2,239.07	Professional		$1,507.21	$1,929.23	$2,239.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,628.46 / $2,141.23 / $3,077.18	Facility		$1,628.46	$2,141.23	$3,077.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,921.00 / $2,245.59 / $3,089.00	Professional		$1,921.00	$2,245.59	$3,089.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,507.21 / $2,043.51 / $6,585.00	Facility		$1,507.21	$2,043.51	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,507.21 / $2,043.51 / $6,585.00	Professional		$1,507.21	$2,043.51	$6,585.00
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 $1,239.79 / $1,983.66 / $3,030.18	Professional		$1,239.79	$1,983.66	$3,030.18