Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.69 / $5,412.00 / $11,425.00	Facility		$1,244.69	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.23 / $1,207.70 / $1,586.27	Professional		$1,026.23	$1,207.70	$1,586.27
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 $1,057.31 / $1,368.03 / $2,261.76	Professional		$1,057.31	$1,368.03	$2,261.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,232.39 / $1,378.98 / $9,951.00	Professional		$1,232.39	$1,378.98	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,303.43	Facility		$640.00	$640.00	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.39 / $1,360.17 / $2,437.36	Professional		$1,018.39	$1,360.17	$2,437.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.33 / $1,413.62 / $1,670.64	Professional		$1,092.33	$1,413.62	$1,670.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,083.53 / $1,384.54 / $2,115.96	Facility		$1,083.53	$1,384.54	$2,115.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,261.58 / $1,491.00 / $2,098.00	Professional		$1,261.58	$1,491.00	$2,098.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,043.72 / $1,365.83 / $4,744.68	Facility		$1,043.72	$1,365.83	$4,744.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,043.72 / $1,365.83 / $4,744.68	Professional		$1,043.72	$1,365.83	$4,744.68
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 $807.30 / $1,246.11 / $2,173.52	Professional		$807.30	$1,246.11	$2,173.52