Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.53 / $5,412.00 / $13,209.00	Facility		$1,795.53	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,440.05 / $1,653.91 / $2,292.07	Professional		$1,440.05	$1,653.91	$2,292.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $54,001.38 / $75,212.97	Facility		$7,142.00	$54,001.38	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,478.54 / $1,890.72 / $3,125.92	Professional		$1,478.54	$1,890.72	$3,125.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,849.50 / $1,881.79 / $19,314.00	Professional		$1,849.50	$1,881.79	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,815.97	Facility		$640.00	$640.00	$1,815.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.27 / $2,049.82 / $3,538.57	Professional		$1,536.27	$2,049.82	$3,538.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,519.41 / $1,944.84 / $2,282.09	Professional		$1,519.41	$1,944.84	$2,282.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,648.85 / $2,086.67 / $3,035.17	Facility		$1,648.85	$2,086.67	$3,035.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,858.00 / $2,255.00 / $3,128.00	Professional		$1,858.00	$2,255.00	$3,128.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,525.97 / $2,029.84 / $6,887.75	Facility		$1,525.97	$2,029.84	$6,887.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,525.97 / $2,029.84 / $6,887.75	Professional		$1,525.97	$2,029.84	$6,887.75
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.81 / $2,023.33 / $3,219.55	Professional		$1,244.81	$2,023.33	$3,219.55