Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.95 / $3,645.00 / $8,294.00	Facility		$1,827.95	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.70 / $1,742.01 / $2,299.73	Professional		$1,431.70	$1,742.01	$2,299.73
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 $1,512.92 / $1,957.53 / $3,236.38	Professional		$1,512.92	$1,957.53	$3,236.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,783.06 / $3,273.71	Professional		$916.00	$1,783.06	$3,273.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,857.88	Facility		$572.00	$572.00	$1,857.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.23 / $2,085.60 / $3,602.53	Professional		$1,569.23	$2,085.60	$3,602.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,565.04 / $2,004.24 / $2,368.65	Professional		$1,565.04	$2,004.24	$2,368.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,722.90 / $2,108.48 / $3,086.18	Facility		$1,722.90	$2,108.48	$3,086.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,023.00 / $2,260.00 / $3,173.90	Professional		$2,023.00	$2,260.00	$3,173.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,579.52 / $2,045.86 / $5,122.00	Facility		$1,579.52	$2,045.86	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,579.52 / $2,045.86 / $5,122.00	Professional		$1,579.52	$2,045.86	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.90 / $1,959.39 / $3,069.19	Professional		$1,222.90	$1,959.39	$3,069.19