Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.33 / $5,412.00 / $11,425.00	Facility		$1,206.33	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.89 / $1,206.33 / $1,501.50	Professional		$1,068.89	$1,206.33	$1,501.50
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 $1,006.80 / $1,287.47 / $2,128.57	Professional		$1,006.80	$1,287.47	$2,128.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,193.79 / $1,289.29 / $4,646.00	Professional		$1,193.79	$1,289.29	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,221.35	Facility		$640.00	$640.00	$1,221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.06 / $1,450.97 / $2,337.54	Professional		$1,043.06	$1,450.97	$2,337.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.31 / $1,327.76 / $1,561.20	Professional		$1,037.31	$1,327.76	$1,561.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,107.00 / $1,442.36 / $2,132.12	Facility		$1,107.00	$1,442.36	$2,132.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,501.49 / $1,637.00 / $2,419.00	Professional		$1,501.49	$1,637.00	$2,419.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,038.42 / $1,436.79 / $4,646.14	Facility		$1,038.42	$1,436.79	$4,646.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,038.42 / $1,436.79 / $4,646.14	Professional		$1,038.42	$1,436.79	$4,646.14
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 $877.13 / $1,343.95 / $2,046.61	Professional		$877.13	$1,343.95	$2,046.61