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 $1,023.78 / $1,169.08 / $1,586.03	Professional		$1,023.78	$1,169.08	$1,586.03
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 $1,042.14 / $1,332.66 / $2,203.28	Professional		$1,042.14	$1,332.66	$2,203.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,182.60 / $1,265.70 / $3,019.00	Professional		$1,182.60	$1,265.70	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,273.64	Facility		$776.00	$776.00	$1,273.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.58 / $1,532.52 / $2,465.17	Professional		$1,105.58	$1,532.52	$2,465.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.97 / $1,372.12 / $1,615.47	Professional		$1,071.97	$1,372.12	$1,615.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,169.08 / $1,482.95 / $2,191.13	Facility		$1,169.08	$1,482.95	$2,191.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $1,609.00 / $2,174.00	Professional		$1,365.00	$1,609.00	$2,174.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,116.76 / $1,466.76 / $4,899.96	Facility		$1,116.76	$1,466.76	$4,899.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,116.76 / $1,466.76 / $4,899.96	Professional		$1,116.76	$1,466.76	$4,899.96
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 $915.21 / $1,427.88 / $2,179.39	Professional		$915.21	$1,427.88	$2,179.39