Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,978.74 / $5,636.00 / $14,798.00	Facility		$1,978.74	$5,636.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.76 / $1,185.00 / $1,603.16	Professional		$1,044.76	$1,185.00	$1,603.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.74 / $1,353.89 / $2,238.38	Professional		$1,058.74	$1,353.89	$2,238.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,241.21 / $1,285.61 / $6,898.00	Professional		$1,241.21	$1,285.61	$6,898.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,294.18	Facility		$1,200.00	$1,200.00	$1,294.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.83 / $1,475.16 / $2,504.90	Professional		$1,112.83	$1,475.16	$2,504.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.69 / $1,389.68 / $1,635.24	Professional		$1,085.69	$1,389.68	$1,635.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,160.72 / $1,499.04 / $2,169.90	Facility		$1,160.72	$1,499.04	$2,169.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,423.00 / $1,603.00 / $2,209.00	Professional		$1,423.00	$1,603.00	$2,209.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,106.58 / $1,449.63 / $4,978.99	Facility		$1,106.58	$1,449.63	$4,978.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,106.58 / $1,449.63 / $4,978.99	Professional		$1,106.58	$1,449.63	$4,978.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,671.00 / $21,639.00	Facility		$6,423.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.98 / $1,434.05 / $2,189.36	Professional		$892.98	$1,434.05	$2,189.36