Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.61 / $5,636.00 / $14,798.00	Facility		$1,950.61	$5,636.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.97 / $1,171.36 / $1,719.71	Professional		$1,023.97	$1,171.36	$1,719.71
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 $1,043.98 / $1,335.02 / $2,207.17	Professional		$1,043.98	$1,335.02	$2,207.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,229.36 / $1,352.31 / $9,951.00	Professional		$1,229.36	$1,352.31	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,272.28	Facility		$1,200.00	$1,200.00	$1,272.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.42 / $1,423.23 / $2,433.69	Professional		$1,098.42	$1,423.23	$2,433.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.63 / $1,371.69 / $1,616.88	Professional		$1,071.63	$1,371.69	$1,616.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,150.95 / $1,477.74 / $2,192.92	Facility		$1,150.95	$1,477.74	$2,192.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,394.00 / $1,572.00 / $2,185.00	Professional		$1,394.00	$1,572.00	$2,185.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,070.22 / $1,412.71 / $4,837.38	Facility		$1,070.22	$1,412.71	$4,837.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,070.22 / $1,412.71 / $4,837.38	Professional		$1,070.22	$1,412.71	$4,837.38
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 $860.56 / $1,339.54 / $2,130.48	Professional		$860.56	$1,339.54	$2,130.48