Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.20 / $5,388.00 / $11,024.00	Facility		$1,250.20	$5,388.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.14 / $1,157.40 / $1,673.30	Professional		$1,014.14	$1,157.40	$1,673.30
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 $1,031.69 / $1,319.30 / $2,181.19	Professional		$1,031.69	$1,319.30	$2,181.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,272.39 / $1,319.46 / $4,039.00	Professional		$1,272.39	$1,319.46	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,260.32	Facility		$640.00	$640.00	$1,260.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.97 / $1,426.46 / $2,437.17	Professional		$1,087.97	$1,426.46	$2,437.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.43 / $1,358.63 / $1,600.01	Professional		$1,061.43	$1,358.63	$1,600.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,155.24 / $1,466.10 / $2,118.04	Facility		$1,155.24	$1,466.10	$2,118.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,383.00 / $1,561.40 / $2,148.00	Professional		$1,383.00	$1,561.40	$2,148.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,068.98 / $1,414.73 / $4,744.43	Facility		$1,068.98	$1,414.73	$4,744.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,068.98 / $1,414.73 / $4,744.43	Professional		$1,068.98	$1,414.73	$4,744.43
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 $860.36 / $1,376.57 / $2,131.60	Professional		$860.36	$1,376.57	$2,131.60