Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,832.46 / $5,980.00 / $14,798.00	Facility		$1,832.46	$5,980.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,496.90 / $1,677.96 / $2,199.37	Professional		$1,496.90	$1,677.96	$2,199.37
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 $1,455.81 / $1,883.65 / $3,114.23	Professional		$1,455.81	$1,883.65	$3,114.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,713.71 / $3,495.97	Professional		$916.00	$1,713.71	$3,495.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,794.83	Facility		$1,200.00	$1,200.00	$1,794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.79 / $2,000.62 / $3,565.07	Professional		$1,519.79	$2,000.62	$3,565.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,519.79 / $1,945.33 / $2,297.21	Professional		$1,519.79	$1,945.33	$2,297.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,118.21 / $3,115.18	Facility		$1,620.00	$2,118.21	$3,115.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,985.00 / $2,279.00 / $3,275.00	Professional		$1,985.00	$2,279.00	$3,275.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,467.65 / $2,041.95 / $6,585.00	Facility		$1,467.65	$2,041.95	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,467.65 / $2,041.95 / $6,585.00	Professional		$1,467.65	$2,041.95	$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 $1,203.96 / $1,945.15 / $3,139.86	Professional		$1,203.96	$1,945.15	$3,139.86