Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.57 / $5,087.00 / $8,920.00	Facility		$1,662.57	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.09 / $1,532.53 / $1,952.09	Professional		$1,334.09	$1,532.53	$1,952.09
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 $1,339.53 / $1,734.70 / $2,867.97	Professional		$1,339.53	$1,734.70	$2,867.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,607.29 / $1,643.83 / $5,146.00	Professional		$1,607.29	$1,643.83	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,662.01	Facility		$640.00	$640.00	$1,662.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.84 / $1,750.28 / $3,233.10	Professional		$1,215.84	$1,750.28	$3,233.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,395.45 / $1,786.18 / $2,099.37	Professional		$1,395.45	$1,786.18	$2,099.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,333.41 / $1,777.49 / $2,723.68	Facility		$1,333.41	$1,777.49	$2,723.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.00 / $1,963.00 / $2,861.00	Professional		$1,318.00	$1,963.00	$2,861.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,044.44 / $1,762.28 / $5,122.00	Facility		$1,044.44	$1,762.28	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,044.44 / $1,762.28 / $5,122.00	Professional		$1,044.44	$1,762.28	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.71 / $1,613.92 / $2,799.39	Professional		$930.71	$1,613.92	$2,799.39