Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.83 / $5,412.00 / $11,425.00	Facility		$1,218.83	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.21 / $1,163.01 / $1,680.55	Professional		$1,018.21	$1,163.01	$1,680.55
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 $1,035.99 / $1,324.80 / $2,190.29	Professional		$1,035.99	$1,324.80	$2,190.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,277.50 / $1,325.73 / $9,951.00	Professional		$1,277.50	$1,325.73	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,264.76	Facility		$640.00	$640.00	$1,264.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.21 / $1,423.28 / $2,444.12	Professional		$1,093.21	$1,423.28	$2,444.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,066.55 / $1,365.18 / $1,608.56	Professional		$1,066.55	$1,365.18	$1,608.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,152.90 / $1,471.09 / $2,177.27	Facility		$1,152.90	$1,471.09	$2,177.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,390.00 / $1,567.00 / $2,160.00	Professional		$1,390.00	$1,567.00	$2,160.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,034.35 / $1,418.61 / $4,757.96	Facility		$1,034.35	$1,418.61	$4,757.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,034.35 / $1,418.61 / $4,757.96	Professional		$1,034.35	$1,418.61	$4,757.96
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 $862.28 / $1,327.73 / $2,147.58	Professional		$862.28	$1,327.73	$2,147.58