Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.06 / $5,412.00 / $11,425.00	Facility		$2,002.06	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.26 / $1,835.67 / $2,520.21	Professional		$1,594.26	$1,835.67	$2,520.21
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 $1,594.32 / $2,084.08 / $3,445.60	Professional		$1,594.32	$2,084.08	$3,445.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,036.49 / $2,076.27 / $9,951.00	Professional		$2,036.49	$2,076.27	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,999.50	Facility		$640.00	$640.00	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.65 / $2,088.53 / $3,893.24	Professional		$1,137.65	$2,088.53	$3,893.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.09 / $2,145.40 / $2,519.54	Professional		$1,676.09	$2,145.40	$2,519.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $2,104.46 / $3,281.21	Facility		$1,287.00	$2,104.46	$3,281.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,369.00 / $2,330.00 / $3,444.00	Professional		$1,369.00	$2,330.00	$3,444.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,034.49 / $2,107.96 / $7,420.00	Facility		$1,034.49	$2,107.96	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $2,107.96 / $7,420.00	Professional		$1,034.49	$2,107.96	$7,420.00
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 $838.67 / $1,680.51 / $3,545.59	Professional		$838.67	$1,680.51	$3,545.59