Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,229.86 / $5,636.00 / $14,798.00	Facility		$2,229.86	$5,636.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.52 / $1,336.78 / $1,814.08	Professional		$1,159.52	$1,336.78	$1,814.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.89 / $1,522.88 / $2,517.77	Professional		$1,190.89	$1,522.88	$2,517.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,398.98 / $1,448.11 / $15,406.00	Professional		$1,398.98	$1,448.11	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,453.45	Facility		$1,200.00	$1,200.00	$1,453.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.43 / $1,598.05 / $2,811.60	Professional		$1,226.43	$1,598.05	$2,811.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.43 / $1,569.83 / $1,849.99	Professional		$1,226.43	$1,569.83	$1,849.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,311.20 / $1,661.90 / $2,417.31	Facility		$1,311.20	$1,661.90	$2,417.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,555.00 / $1,796.00 / $2,491.00	Professional		$1,555.00	$1,796.00	$2,491.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,189.44 / $1,594.37 / $5,588.77	Facility		$1,189.44	$1,594.37	$5,588.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,189.44 / $1,594.37 / $5,588.77	Professional		$1,189.44	$1,594.37	$5,588.77
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 $989.07 / $1,524.78 / $2,461.30	Professional		$989.07	$1,524.78	$2,461.30