Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.99 / $5,412.00 / $11,425.00	Facility		$1,383.99	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.13 / $1,364.46 / $2,203.56	Professional		$1,161.13	$1,364.46	$2,203.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.63 / $1,549.60 / $2,561.94	Professional		$1,197.63	$1,549.60	$2,561.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,439.43 / $1,549.28 / $9,951.00	Professional		$1,439.43	$1,549.28	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,480.64	Facility		$640.00	$640.00	$1,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.11 / $1,619.04 / $2,749.84	Professional		$1,242.11	$1,619.04	$2,749.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,251.40 / $1,601.79 / $1,881.53	Professional		$1,251.40	$1,601.79	$1,881.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,289.80 / $1,659.91 / $2,352.78	Facility		$1,289.80	$1,659.91	$2,352.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,515.00 / $1,750.00 / $2,424.00	Professional		$1,515.00	$1,750.00	$2,424.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,176.74 / $1,597.54 / $5,188.30	Facility		$1,176.74	$1,597.54	$5,188.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,176.74 / $1,597.54 / $5,188.30	Professional		$1,176.74	$1,597.54	$5,188.30
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 $976.73 / $1,523.20 / $2,376.38	Professional		$976.73	$1,523.20	$2,376.38