Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.34 / $5,412.00 / $11,024.00	Facility		$1,234.34	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.56 / $1,157.16 / $1,789.80	Professional		$981.56	$1,157.16	$1,789.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $28,147.00 / $30,324.00	Facility		$21,861.00	$28,147.00	$30,324.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.41 / $1,316.16 / $2,176.00	Professional		$1,018.41	$1,316.16	$2,176.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,199.34 / $1,262.26 / $17,559.00	Professional		$1,199.34	$1,262.26	$17,559.00
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 / $1,387.44 / $2,412.56	Professional		$1,071.99	$1,387.44	$2,412.56
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 / $1,425.71 / $2,057.34	Facility		$1,098.72	$1,425.71	$2,057.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $1,545.00 / $2,135.00	Professional		$1,367.00	$1,545.00	$2,135.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,006.91 / $1,381.04 / $4,696.47	Facility		$1,006.91	$1,381.04	$4,696.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,006.91 / $1,381.04 / $4,696.47	Professional		$1,006.91	$1,381.04	$4,696.47
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 $839.85 / $1,326.25 / $2,088.92	Professional		$839.85	$1,326.25	$2,088.92