Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.43 / $5,412.00 / $13,209.00	Facility		$1,789.43	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,391.57 / $1,654.47 / $2,103.67	Professional		$1,391.57	$1,654.47	$2,103.67
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 $1,413.33 / $1,841.58 / $3,054.47	Professional		$1,413.33	$1,841.58	$3,054.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,350.00 / $2,551.50	Professional		$916.00	$1,350.00	$2,551.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,795.12	Facility		$640.00	$640.00	$1,795.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,437.33 / $2,030.58 / $3,475.39	Professional		$1,437.33	$2,030.58	$3,475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.66 / $1,918.28 / $2,266.42	Professional		$1,498.66	$1,918.28	$2,266.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,631.03 / $2,038.03 / $2,924.22	Facility		$1,631.03	$2,038.03	$2,924.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,172.48 / $2,588.51 / $3,699.51	Professional		$2,172.48	$2,588.51	$3,699.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,349.04 / $2,045.28 / $6,585.00	Facility		$1,349.04	$2,045.28	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,349.04 / $2,045.28 / $6,585.00	Professional		$1,349.04	$2,045.28	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,439.00 / $21,639.00	Facility		$6,398.00	$10,439.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.92 / $1,730.60 / $2,953.93	Professional		$1,073.92	$1,730.60	$2,953.93