Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,571.48 / $4,771.00 / $9,539.00	Facility		$1,571.48	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.33 / $1,433.45 / $1,805.91	Professional		$1,263.33	$1,433.45	$1,805.91
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 $1,245.02 / $1,610.91 / $2,663.31	Professional		$1,245.02	$1,610.91	$2,663.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,330.99 / $2,515.57	Professional		$916.00	$1,330.99	$2,515.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,534.81	Facility		$640.00	$640.00	$1,534.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.96 / $1,665.94 / $3,048.85	Professional		$1,267.96	$1,665.94	$3,048.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,299.46 / $1,663.31 / $1,963.21	Professional		$1,299.46	$1,663.31	$1,963.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,335.76 / $1,768.75 / $2,671.52	Facility		$1,335.76	$1,768.75	$2,671.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,563.00 / $1,864.00 / $2,587.00	Professional		$1,563.00	$1,864.00	$2,587.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,211.20 / $1,682.61 / $5,935.45	Facility		$1,211.20	$1,682.61	$5,935.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,211.20 / $1,682.61 / $5,935.45	Professional		$1,211.20	$1,682.61	$5,935.45
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 $1,072.53 / $1,619.65 / $2,803.68	Professional		$1,072.53	$1,619.65	$2,803.68