Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.55 / $5,412.00 / $13,209.00	Facility		$1,359.55	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.23 / $1,257.19 / $1,507.21	Professional		$1,077.23	$1,257.19	$1,507.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.35 / $1,450.17 / $2,405.27	Professional		$1,136.35	$1,450.17	$2,405.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,219.43 / $2,304.71	Professional		$916.00	$1,219.43	$2,304.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,364.20	Facility		$640.00	$640.00	$1,364.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.64 / $1,543.17 / $2,641.83	Professional		$1,092.64	$1,543.17	$2,641.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,138.97 / $1,457.88 / $1,722.46	Professional		$1,138.97	$1,457.88	$1,722.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,239.35 / $1,536.29 / $2,218.94	Facility		$1,239.35	$1,536.29	$2,218.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,650.89 / $2,132.14 / $2,821.39	Professional		$1,650.89	$2,132.14	$2,821.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,049.13 / $1,554.80 / $5,251.17	Facility		$1,049.13	$1,554.80	$5,251.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,049.13 / $1,554.80 / $5,251.17	Professional		$1,049.13	$1,554.80	$5,251.17
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 $805.43 / $1,274.69 / $2,188.59	Professional		$805.43	$1,274.69	$2,188.59