Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.97 / $4,771.00 / $9,539.00	Facility		$1,831.97	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.36 / $1,681.09 / $2,159.79	Professional		$1,460.36	$1,681.09	$2,159.79
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 $1,500.36 / $1,918.63 / $3,172.07	Professional		$1,500.36	$1,918.63	$3,172.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,823.60 / $1,823.60 / $19,314.00	Professional		$1,823.60	$1,823.60	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,838.16	Facility		$640.00	$640.00	$1,838.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.27 / $2,049.39 / $3,567.17	Professional		$1,581.27	$2,049.39	$3,567.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,542.70 / $1,974.66 / $2,321.16	Professional		$1,542.70	$1,974.66	$2,321.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,681.09 / $2,143.40 / $3,201.93	Facility		$1,681.09	$2,143.40	$3,201.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,007.00 / $2,284.94 / $3,144.00	Professional		$2,007.00	$2,284.94	$3,144.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,543.73 / $2,059.48 / $6,943.39	Facility		$1,543.73	$2,059.48	$6,943.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,543.73 / $2,059.48 / $6,943.39	Professional		$1,543.73	$2,059.48	$6,943.39
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 $1,254.86 / $1,922.94 / $3,038.54	Professional		$1,254.86	$1,922.94	$3,038.54