Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.64 / $5,412.00 / $11,024.00	Facility		$1,590.64	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.81 / $1,429.32 / $1,754.16	Professional		$1,270.81	$1,429.32	$1,754.16
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 $1,224.69 / $1,566.11 / $2,589.23	Professional		$1,224.69	$1,566.11	$2,589.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,571.57 / $1,620.44 / $7,889.00	Professional		$1,571.57	$1,620.44	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,490.92	Facility		$640.00	$640.00	$1,490.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.32 / $1,778.30 / $2,997.22	Professional		$1,304.32	$1,778.30	$2,997.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,272.45 / $1,628.74 / $1,902.28	Professional		$1,272.45	$1,628.74	$1,902.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $1,833.16 / $2,666.42	Facility		$1,368.00	$1,833.16	$2,666.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,735.00 / $1,958.00 / $2,626.00	Professional		$1,735.00	$1,958.00	$2,626.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,273.06 / $1,727.24 / $5,835.00	Facility		$1,273.06	$1,727.24	$5,835.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,273.06 / $1,727.24 / $5,835.00	Professional		$1,273.06	$1,727.24	$5,835.00
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 $1,097.47 / $1,757.29 / $2,595.16	Professional		$1,097.47	$1,757.29	$2,595.16