Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.96 / $5,412.00 / $11,425.00	Facility		$1,794.96	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.51 / $1,643.25 / $2,433.64	Professional		$1,419.51	$1,643.25	$2,433.64
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 $1,443.05 / $1,867.14 / $3,086.94	Professional		$1,443.05	$1,867.14	$3,086.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,820.31 / $1,861.41 / $9,951.00	Professional		$1,820.31	$1,861.41	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,790.02	Facility		$640.00	$640.00	$1,790.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.68 / $1,982.69 / $3,482.64	Professional		$1,469.68	$1,982.69	$3,482.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.81 / $1,922.32 / $2,258.54	Professional		$1,501.81	$1,922.32	$2,258.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,625.50 / $2,033.00 / $2,987.60	Facility		$1,625.50	$2,033.00	$2,987.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,888.95 / $2,237.83 / $3,079.00	Professional		$1,888.95	$2,237.83	$3,079.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,419.65 / $1,962.59 / $6,778.84	Facility		$1,419.65	$1,962.59	$6,778.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,419.65 / $1,962.59 / $6,778.84	Professional		$1,419.65	$1,962.59	$6,778.84
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 $1,186.19 / $1,796.86 / $3,037.41	Professional		$1,186.19	$1,796.86	$3,037.41