Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.94 / $4,771.00 / $9,539.00	Facility		$1,320.94	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.53 / $1,212.24 / $1,554.49	Professional		$1,032.53	$1,212.24	$1,554.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.48 / $1,382.97 / $2,286.46	Professional		$1,081.48	$1,382.97	$2,286.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,377.71 / $1,377.71 / $9,951.00	Professional		$1,377.71	$1,377.71	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,324.04	Facility		$640.00	$640.00	$1,324.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.40 / $1,592.52 / $2,565.21	Professional		$1,125.40	$1,592.52	$2,565.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.73 / $1,424.29 / $1,674.84	Professional		$1,112.73	$1,424.29	$1,674.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,211.26 / $1,542.14 / $2,417.32	Facility		$1,211.26	$1,542.14	$2,417.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,267.00 / $1,678.00 / $2,177.00	Professional		$1,267.00	$1,678.00	$2,177.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,098.55 / $1,519.46 / $4,993.77	Facility		$1,098.55	$1,519.46	$4,993.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,098.55 / $1,519.46 / $4,993.77	Professional		$1,098.55	$1,519.46	$4,993.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.55 / $1,552.12 / $2,263.60	Professional		$962.55	$1,552.12	$2,263.60