Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.22 / $5,412.00 / $11,425.00	Facility		$1,367.22	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.78 / $1,268.18 / $1,713.17	Professional		$1,112.78	$1,268.18	$1,713.17
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 $1,130.95 / $1,446.24 / $2,391.06	Professional		$1,130.95	$1,446.24	$2,391.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,393.73 / $1,445.67 / $9,951.00	Professional		$1,393.73	$1,445.67	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,382.39	Facility		$640.00	$640.00	$1,382.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.01 / $1,568.94 / $2,677.01	Professional		$1,193.01	$1,568.94	$2,677.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.92 / $1,489.82 / $1,753.86	Professional		$1,163.92	$1,489.82	$1,753.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,255.91 / $1,608.14 / $2,320.77	Facility		$1,255.91	$1,608.14	$2,320.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,514.00 / $1,712.86 / $2,356.00	Professional		$1,514.00	$1,712.86	$2,356.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,168.65 / $1,551.51 / $5,211.47	Facility		$1,168.65	$1,551.51	$5,211.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,168.65 / $1,551.51 / $5,211.47	Professional		$1,168.65	$1,551.51	$5,211.47
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 $950.15 / $1,460.83 / $2,317.89	Professional		$950.15	$1,460.83	$2,317.89