Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.46 / $5,412.00 / $11,024.00	Facility		$1,577.46	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.32 / $1,462.28 / $1,863.77	Professional		$1,209.32	$1,462.28	$1,863.77
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 $1,282.36 / $1,659.25 / $2,743.23	Professional		$1,282.36	$1,659.25	$2,743.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,660.11 / $1,660.11 / $7,889.00	Professional		$1,660.11	$1,660.11	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,585.02	Facility		$640.00	$640.00	$1,585.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.44 / $1,710.73 / $3,098.66	Professional		$1,308.44	$1,710.73	$3,098.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.55 / $1,715.90 / $2,017.03	Professional		$1,340.55	$1,715.90	$2,017.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,442.09 / $1,813.37 / $2,692.62	Facility		$1,442.09	$1,813.37	$2,692.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,587.00 / $1,944.00 / $2,636.70	Professional		$1,587.00	$1,944.00	$2,636.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,276.08 / $1,713.71 / $6,032.52	Facility		$1,276.08	$1,713.71	$6,032.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,276.08 / $1,713.71 / $6,032.52	Professional		$1,276.08	$1,713.71	$6,032.52
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 $1,040.34 / $1,628.30 / $2,708.60	Professional		$1,040.34	$1,628.30	$2,708.60