Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.20 / $5,587.00 / $11,425.00	Facility		$1,747.20	$5,587.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.33 / $1,607.69 / $2,181.71	Professional		$1,390.33	$1,607.69	$2,181.71
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 $1,419.54 / $1,815.27 / $3,001.18	Professional		$1,419.54	$1,815.27	$3,001.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,675.05 / $1,718.95 / $13,882.00	Professional		$1,675.05	$1,718.95	$13,882.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,740.42	Facility		$640.00	$640.00	$1,740.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,511.53 / $2,076.56 / $3,390.20	Professional		$1,511.53	$2,076.56	$3,390.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,463.46 / $1,873.23 / $2,197.53	Professional		$1,463.46	$1,873.23	$2,197.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,591.27 / $2,047.84 / $2,904.53	Facility		$1,591.27	$2,047.84	$2,904.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,936.00 / $2,172.39 / $3,580.97	Professional		$1,936.00	$2,172.39	$3,580.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,525.47 / $2,067.52 / $9,929.00	Facility		$1,525.47	$2,067.52	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,525.47 / $2,067.52 / $9,929.00	Professional		$1,525.47	$2,067.52	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,071.00 / $17,777.00 / $35,289.00	Facility		$10,071.00	$17,777.00	$35,289.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.11 / $1,987.69 / $3,043.08	Professional		$1,272.11	$1,987.69	$3,043.08