Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.05 / $4,771.00 / $9,539.00	Facility		$1,268.05	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.18 / $1,169.75 / $1,493.58	Professional		$1,007.18	$1,169.75	$1,493.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.06 / $1,333.84 / $2,205.23	Professional		$1,043.06	$1,333.84	$2,205.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,328.85 / $1,328.85 / $17,559.00	Professional		$1,328.85	$1,328.85	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,273.55	Facility		$640.00	$640.00	$1,273.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.97 / $1,382.81 / $2,465.29	Professional		$1,100.97	$1,382.81	$2,465.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,074.11 / $1,374.87 / $1,619.77	Professional		$1,074.11	$1,374.87	$1,619.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,162.08 / $1,468.72 / $2,155.69	Facility		$1,162.08	$1,468.72	$2,155.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,374.00 / $1,588.45 / $2,185.00	Professional		$1,374.00	$1,588.45	$2,185.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,077.84 / $1,401.16 / $4,799.14	Facility		$1,077.84	$1,401.16	$4,799.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,077.84 / $1,401.16 / $4,799.14	Professional		$1,077.84	$1,401.16	$4,799.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.25 / $1,336.56 / $2,157.48	Professional		$867.25	$1,336.56	$2,157.48