Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.04 / $5,412.00 / $16,216.00	Facility		$1,229.04	$5,412.00	$16,216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.14 / $1,142.59 / $1,685.21	Professional		$974.14	$1,142.59	$1,685.21
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 $1,029.23 / $1,316.16 / $2,176.00	Professional		$1,029.23	$1,316.16	$2,176.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,208.04 / $1,254.83 / $9,951.00	Professional		$1,208.04	$1,254.83	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,256.56	Facility		$640.00	$640.00	$1,256.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.99 / $1,384.53 / $2,398.60	Professional		$1,071.99	$1,384.53	$2,398.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.00 / $1,358.08 / $1,603.71	Professional		$1,061.00	$1,358.08	$1,603.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,098.72 / $1,419.67 / $2,054.03	Facility		$1,098.72	$1,419.67	$2,054.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,358.00 / $1,543.00 / $2,133.00	Professional		$1,358.00	$1,543.00	$2,133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,008.51 / $1,389.30 / $4,669.31	Facility		$1,008.51	$1,389.30	$4,669.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,008.51 / $1,389.30 / $4,669.31	Professional		$1,008.51	$1,389.30	$4,669.31
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 $838.05 / $1,342.20 / $2,076.84	Professional		$838.05	$1,342.20	$2,076.84