Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.47 / $5,412.00 / $13,209.00	Facility		$1,864.47	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.64 / $1,697.43 / $2,339.58	Professional		$1,515.64	$1,697.43	$2,339.58
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 $1,516.03 / $1,938.67 / $3,205.20	Professional		$1,516.03	$1,938.67	$3,205.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,890.86 / $1,932.09 / $19,314.00	Professional		$1,890.86	$1,932.09	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,859.26	Facility		$640.00	$640.00	$1,859.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.86 / $2,119.19 / $3,618.44	Professional		$1,566.86	$2,119.19	$3,618.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,558.80 / $1,995.26 / $2,343.60	Professional		$1,558.80	$1,995.26	$2,343.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,687.86 / $2,172.04 / $3,131.85	Facility		$1,687.86	$2,172.04	$3,131.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,308.00 / $3,197.00	Professional		$2,030.00	$2,308.00	$3,197.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,559.39 / $2,093.69 / $7,043.25	Facility		$1,559.39	$2,093.69	$7,043.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,559.39 / $2,093.69 / $7,043.25	Professional		$1,559.39	$2,093.69	$7,043.25
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 $1,269.98 / $2,036.76 / $3,063.45	Professional		$1,269.98	$2,036.76	$3,063.45