Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.25 / $5,328.00 / $11,024.00	Facility		$1,424.25	$5,328.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.68 / $1,319.50 / $1,792.99	Professional		$1,157.68	$1,319.50	$1,792.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,177.35 / $1,505.58 / $2,489.17	Professional		$1,177.35	$1,505.58	$2,489.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,457.19 / $1,503.44 / $4,039.00	Professional		$1,457.19	$1,503.44	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,440.74	Facility		$640.00	$640.00	$1,440.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.98 / $1,639.62 / $2,794.44	Professional		$1,240.98	$1,639.62	$2,794.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,210.71 / $1,549.71 / $1,822.87	Professional		$1,210.71	$1,549.71	$1,822.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $1,675.09 / $2,421.23	Facility		$1,319.50	$1,675.09	$2,421.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,581.00 / $1,778.00 / $2,444.00	Professional		$1,581.00	$1,778.00	$2,444.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,216.28 / $1,619.45 / $5,122.00	Facility		$1,216.28	$1,619.45	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,216.28 / $1,619.45 / $5,122.00	Professional		$1,216.28	$1,619.45	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.21 / $1,585.93 / $2,480.59	Professional		$991.21	$1,585.93	$2,480.59