Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.88 / $5,412.00 / $11,425.00	Facility		$1,438.88	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.23 / $1,322.20 / $2,017.90	Professional		$1,141.23	$1,322.20	$2,017.90
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 $1,184.74 / $1,515.02 / $2,504.78	Professional		$1,184.74	$1,515.02	$2,504.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,472.65 / $1,513.55 / $9,951.00	Professional		$1,472.65	$1,513.55	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,449.04	Facility		$640.00	$640.00	$1,449.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.98 / $1,629.83 / $2,804.27	Professional		$1,245.98	$1,629.83	$2,804.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.61 / $1,561.11 / $1,837.03	Professional		$1,219.61	$1,561.11	$1,837.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,316.70 / $1,683.49 / $2,400.06	Facility		$1,316.70	$1,683.49	$2,400.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,589.00 / $1,787.00 / $2,491.00	Professional		$1,589.00	$1,787.00	$2,491.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,234.21 / $1,621.07 / $5,459.27	Facility		$1,234.21	$1,621.07	$5,459.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,234.21 / $1,621.07 / $5,459.27	Professional		$1,234.21	$1,621.07	$5,459.27
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 $986.67 / $1,568.18 / $2,450.27	Professional		$986.67	$1,568.18	$2,450.27