Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.72 / $5,412.00 / $11,425.00	Facility		$1,258.72	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.83 / $1,207.70 / $1,586.27	Professional		$906.83	$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 $1,149.64 / $1,287.59 / $9,951.00	Professional		$1,149.64	$1,287.59	$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 $1,018.79 / $1,324.14 / $2,437.36	Professional		$1,018.79	$1,324.14	$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 $1,080.66 / $1,384.54 / $2,112.75	Facility		$1,080.66	$1,384.54	$2,112.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $1,441.00 / $2,098.00	Professional		$1,236.00	$1,441.00	$2,098.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,024.83 / $1,356.72 / $4,744.68	Facility		$1,024.83	$1,356.72	$4,744.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,024.83 / $1,356.72 / $4,744.68	Professional		$1,024.83	$1,356.72	$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 $823.13 / $1,253.55 / $2,110.40	Professional		$823.13	$1,253.55	$2,110.40