Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.46 / $5,480.00 / $14,187.00	Facility		$2,194.46	$5,480.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.31 / $1,111.44 / $2,178.42	Professional		$945.31	$1,111.44	$2,178.42
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 $990.81 / $1,267.03 / $2,094.78	Professional		$990.81	$1,267.03	$2,094.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,167.39 / $1,260.78 / $12,325.00	Professional		$1,167.39	$1,260.78	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,211.33	Facility		$1,200.00	$1,200.00	$1,211.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.74 / $1,385.48 / $2,346.04	Professional		$1,044.74	$1,385.48	$2,346.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,019.25 / $1,304.64 / $1,535.56	Professional		$1,019.25	$1,304.64	$1,535.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,111.44 / $1,419.39 / $2,043.70	Facility		$1,111.44	$1,419.39	$2,043.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,316.00 / $1,500.00 / $2,070.00	Professional		$1,316.00	$1,500.00	$2,070.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,043.08 / $1,366.36 / $4,663.09	Facility		$1,043.08	$1,366.36	$4,663.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,043.08 / $1,366.36 / $4,663.09	Professional		$1,043.08	$1,366.36	$4,663.09
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.90 / $1,329.27 / $2,050.53	Professional		$845.90	$1,329.27	$2,050.53