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 $1,050.27 / $1,254.44 / $1,593.15	Professional		$1,050.27	$1,254.44	$1,593.15
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 $1,097.15 / $1,403.01 / $2,319.59	Professional		$1,097.15	$1,403.01	$2,319.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,241.06 / $1,346.96 / $5,113.00	Professional		$1,241.06	$1,346.96	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,330.96	Facility		$776.00	$776.00	$1,330.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,136.42 / $1,506.77 / $2,528.11	Professional		$1,136.42	$1,506.77	$2,528.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.77 / $1,442.98 / $1,705.34	Professional		$1,122.77	$1,442.98	$1,705.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,223.72 / $1,500.41 / $2,253.65	Facility		$1,223.72	$1,500.41	$2,253.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,396.00 / $1,636.00 / $2,209.00	Professional		$1,396.00	$1,636.00	$2,209.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,136.80 / $1,476.29 / $5,009.00	Facility		$1,136.80	$1,476.29	$5,009.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,136.80 / $1,476.29 / $5,009.00	Professional		$1,136.80	$1,476.29	$5,009.00
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 $933.75 / $1,525.49 / $2,379.40	Professional		$933.75	$1,525.49	$2,379.40