Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.28 / $5,412.00 / $11,425.00	Facility		$1,431.28	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.60 / $1,325.36 / $1,691.80	Professional		$1,165.60	$1,325.36	$1,691.80
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 $1,176.44 / $1,504.40 / $2,487.21	Professional		$1,176.44	$1,504.40	$2,487.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,505.67 / $1,505.67 / $3,026.00	Professional		$1,505.67	$1,505.67	$3,026.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,437.35	Facility		$640.00	$640.00	$1,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,210.52 / $1,564.06 / $2,814.36	Professional		$1,210.52	$1,564.06	$2,814.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.49 / $1,554.55 / $1,826.27	Professional		$1,214.49	$1,554.55	$1,826.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,289.59 / $1,656.45 / $2,433.17	Facility		$1,289.59	$1,656.45	$2,433.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,761.00 / $2,414.85	Professional		$1,415.00	$1,761.00	$2,414.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,169.32 / $1,578.84 / $5,478.91	Facility		$1,169.32	$1,578.84	$5,478.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,169.32 / $1,578.84 / $5,478.91	Professional		$1,169.32	$1,578.84	$5,478.91
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 $935.67 / $1,522.87 / $2,458.21	Professional		$935.67	$1,522.87	$2,458.21