Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.45 / $5,087.00 / $8,920.00	Facility		$1,499.45	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.36 / $1,392.69 / $1,785.45	Professional		$1,189.36	$1,392.69	$1,785.45
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 $1,216.41 / $1,590.08 / $2,628.87	Professional		$1,216.41	$1,590.08	$2,628.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,470.72 / $1,508.49 / $7,889.00	Professional		$1,470.72	$1,508.49	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,521.54	Facility		$640.00	$640.00	$1,521.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.57 / $1,587.33 / $2,954.70	Professional		$897.57	$1,587.33	$2,954.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.65 / $1,637.95 / $1,926.95	Professional		$1,279.65	$1,637.95	$1,926.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,038.08 / $1,620.14 / $2,487.78	Facility		$1,038.08	$1,620.14	$2,487.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,085.00 / $1,771.00 / $2,618.00	Professional		$1,085.00	$1,771.00	$2,618.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $824.29 / $1,610.30 / $5,752.21	Facility		$824.29	$1,610.30	$5,752.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $824.29 / $1,610.30 / $5,752.21	Professional		$824.29	$1,610.30	$5,752.21
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,671.00 / $21,639.00	Facility		$6,423.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.50 / $1,308.51 / $2,501.51	Professional		$677.50	$1,308.51	$2,501.51