Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,347.59	Facility		$1,538.00	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.45 / $1,175.59 / $1,595.34	Professional		$1,093.45	$1,175.59	$1,595.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.98 / $1,340.13 / $2,215.63	Professional		$1,047.98	$1,340.13	$2,215.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,228.83 / $2,322.51	Professional		$916.00	$1,228.83	$2,322.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,280.88	Facility		$776.00	$776.00	$1,280.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.82 / $1,551.04 / $2,478.84	Professional		$1,111.82	$1,551.04	$2,478.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.17 / $1,380.06 / $1,624.83	Professional		$1,078.17	$1,380.06	$1,624.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,175.59 / $1,502.85 / $2,267.48	Facility		$1,175.59	$1,502.85	$2,267.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,401.00 / $1,618.00 / $2,187.00	Professional		$1,401.00	$1,618.00	$2,187.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,123.06 / $1,512.22 / $4,927.14	Facility		$1,123.06	$1,512.22	$4,927.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,123.06 / $1,512.22 / $4,927.14	Professional		$1,123.06	$1,512.22	$4,927.14
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 $930.14 / $1,481.28 / $2,221.10	Professional		$930.14	$1,481.28	$2,221.10