Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,040.00 / $10,637.11	Facility		$1,749.00	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.76 / $1,136.51 / $1,539.07	Professional		$999.76	$1,136.51	$1,539.07
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 $1,012.64 / $1,294.94 / $2,140.92	Professional		$1,012.64	$1,294.94	$2,140.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,186.22 / $1,230.63 / $15,406.00	Professional		$1,186.22	$1,230.63	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,236.73	Facility		$900.00	$900.00	$1,236.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.06 / $1,412.37 / $2,390.26	Professional		$1,068.06	$1,412.37	$2,390.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.01 / $1,333.77 / $1,571.05	Professional		$1,042.01	$1,333.77	$1,571.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,136.45 / $1,453.63 / $2,175.32	Facility		$1,136.45	$1,453.63	$2,175.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,355.00 / $1,534.85 / $2,112.00	Professional		$1,355.00	$1,534.85	$2,112.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,059.58 / $1,388.88 / $4,751.02	Facility		$1,059.58	$1,388.88	$4,751.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,059.58 / $1,388.88 / $4,751.02	Professional		$1,059.58	$1,388.88	$4,751.02
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 $870.13 / $1,364.80 / $2,069.62	Professional		$870.13	$1,364.80	$2,069.62