Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.99 / $5,412.00 / $11,425.00	Facility		$1,982.99	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.13 / $1,873.95 / $2,629.18	Professional		$1,625.13	$1,873.95	$2,629.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,318.00 / $20,977.18 / $29,216.95	Facility		$12,318.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.84 / $1,976.79 / $3,268.22	Professional		$1,545.84	$1,976.79	$3,268.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,971.66 / $2,075.13 / $9,951.00	Professional		$1,971.66	$2,075.13	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,894.69	Facility		$640.00	$640.00	$1,894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.04 / $2,306.41 / $3,845.31	Professional		$1,645.04	$2,306.41	$3,845.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,572.64 / $2,010.60 / $2,327.51	Professional		$1,572.64	$2,010.60	$2,327.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,680.20 / $2,200.55 / $3,199.50	Facility		$1,680.20	$2,200.55	$3,199.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,127.00 / $2,894.99 / $3,876.74	Professional		$2,127.00	$2,894.99	$3,876.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,712.53 / $2,343.46 / $7,420.00	Facility		$1,712.53	$2,343.46	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,712.53 / $2,343.46 / $7,420.00	Professional		$1,712.53	$2,343.46	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.90 / $2,215.98 / $3,388.38	Professional		$1,442.90	$2,215.98	$3,388.38