Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.95 / $5,412.00 / $11,425.00	Facility		$1,555.95	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.68 / $1,486.71 / $1,982.84	Professional		$1,270.68	$1,486.71	$1,982.84
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 $1,293.83 / $1,654.53 / $2,735.43	Professional		$1,293.83	$1,654.53	$2,735.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,603.69 / $1,651.08 / $9,951.00	Professional		$1,603.69	$1,651.08	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,584.46	Facility		$640.00	$640.00	$1,584.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.93 / $1,777.44 / $3,075.24	Professional		$1,345.93	$1,777.44	$3,075.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,330.83 / $1,703.46 / $2,002.98	Professional		$1,330.83	$1,703.46	$2,002.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,437.00 / $1,827.44 / $2,652.02	Facility		$1,437.00	$1,827.44	$2,652.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,742.74 / $1,970.00 / $2,609.00	Professional		$1,742.74	$1,970.00	$2,609.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,336.27 / $1,751.45 / $5,985.48	Facility		$1,336.27	$1,751.45	$5,985.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,336.27 / $1,751.45 / $5,985.48	Professional		$1,336.27	$1,751.45	$5,985.48
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 $1,080.89 / $1,662.91 / $2,684.27	Professional		$1,080.89	$1,662.91	$2,684.27