Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.02 / $5,412.00 / $11,425.00	Facility		$1,235.02	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.87 / $1,166.65 / $1,587.54	Professional		$975.87	$1,166.65	$1,587.54
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 $1,040.30 / $1,330.31 / $2,199.40	Professional		$1,040.30	$1,330.31	$2,199.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,289.02 / $1,331.13 / $9,951.00	Professional		$1,289.02	$1,331.13	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,270.14	Facility		$640.00	$640.00	$1,270.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.98 / $1,385.60 / $2,457.77	Professional		$1,070.98	$1,385.60	$2,457.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,070.98 / $1,370.85 / $1,615.06	Professional		$1,070.98	$1,370.85	$1,615.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,162.72 / $1,457.93 / $2,134.96	Facility		$1,162.72	$1,457.93	$2,134.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,382.00 / $1,611.00 / $2,086.00	Professional		$1,382.00	$1,611.00	$2,086.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,021.70 / $1,394.73 / $4,784.54	Facility		$1,021.70	$1,394.73	$4,784.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,021.70 / $1,394.73 / $4,784.54	Professional		$1,021.70	$1,394.73	$4,784.54
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 $864.60 / $1,346.35 / $2,082.10	Professional		$864.60	$1,346.35	$2,082.10