Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.40 / $5,412.00 / $11,425.00	Facility		$1,458.40	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.19 / $1,348.41 / $1,837.58	Professional		$1,182.19	$1,348.41	$1,837.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,416.45 / $37,782.72 / $52,623.67	Facility		$26,416.45	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.56 / $1,537.81 / $2,542.46	Professional		$1,202.56	$1,537.81	$2,542.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,481.61 / $1,536.10 / $17,559.00	Professional		$1,481.61	$1,536.10	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,471.08	Facility		$640.00	$640.00	$1,471.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.79 / $1,656.99 / $2,851.44	Professional		$1,267.79	$1,656.99	$2,851.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.86 / $1,583.19 / $1,862.65	Professional		$1,236.86	$1,583.19	$1,862.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,348.41 / $1,710.20 / $2,524.36	Facility		$1,348.41	$1,710.20	$2,524.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,614.00 / $1,817.88 / $2,501.00	Professional		$1,614.00	$1,817.88	$2,501.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,206.50 / $1,648.75 / $5,551.16	Facility		$1,206.50	$1,648.75	$5,551.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,206.50 / $1,648.75 / $5,551.16	Professional		$1,206.50	$1,648.75	$5,551.16
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 $1,000.16 / $1,581.67 / $2,449.89	Professional		$1,000.16	$1,581.67	$2,449.89