Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.12 / $5,412.00 / $11,024.00	Facility		$1,750.12	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.93 / $1,610.14 / $2,196.73	Professional		$1,417.93	$1,610.14	$2,196.73
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 $1,426.29 / $1,823.91 / $3,015.47	Professional		$1,426.29	$1,823.91	$3,015.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,776.58 / $1,819.80 / $4,039.00	Professional		$1,776.58	$1,819.80	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,747.00	Facility		$640.00	$640.00	$1,747.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.65 / $1,995.91 / $3,396.27	Professional		$1,504.65	$1,995.91	$3,396.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,467.95 / $1,878.98 / $2,208.96	Professional		$1,467.95	$1,878.98	$2,208.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,572.65 / $2,036.45 / $2,915.02	Facility		$1,572.65	$2,036.45	$2,915.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,940.00 / $2,183.00 / $3,005.00	Professional		$1,940.00	$2,183.00	$3,005.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,473.25 / $1,964.89 / $5,122.00	Facility		$1,473.25	$1,964.89	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,473.25 / $1,964.89 / $5,122.00	Professional		$1,473.25	$1,964.89	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.67 / $1,847.16 / $2,875.37	Professional		$1,204.67	$1,847.16	$2,875.37