Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.60 / $5,412.00 / $11,425.00	Facility		$1,215.60	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.68 / $1,215.60 / $1,457.03	Professional		$1,061.68	$1,215.60	$1,457.03
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 $1,012.33 / $1,294.54 / $2,140.26	Professional		$1,012.33	$1,294.54	$2,140.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,278.79 / $1,278.79 / $7,889.00	Professional		$1,278.79	$1,278.79	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,243.70	Facility		$640.00	$640.00	$1,243.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.83 / $1,456.69 / $2,365.12	Professional		$1,073.83	$1,456.69	$2,365.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,041.33 / $1,332.90 / $1,551.11	Professional		$1,041.33	$1,332.90	$1,551.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,131.29 / $1,449.21 / $2,224.57	Facility		$1,131.29	$1,449.21	$2,224.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,503.00 / $1,655.00 / $2,324.00	Professional		$1,503.00	$1,655.00	$2,324.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,052.63 / $1,445.48 / $4,604.21	Facility		$1,052.63	$1,445.48	$4,604.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,052.63 / $1,445.48 / $4,604.21	Professional		$1,052.63	$1,445.48	$4,604.21
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 $887.47 / $1,386.68 / $2,117.21	Professional		$887.47	$1,386.68	$2,117.21