Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,842.31 / $5,087.00 / $9,388.24	Facility		$1,842.31	$5,087.00	$9,388.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.35 / $1,842.31 / $2,969.28	Professional		$1,506.35	$1,842.31	$2,969.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,523.41 / $1,948.10 / $3,220.79	Professional		$1,523.41	$1,948.10	$3,220.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,799.40 / $1,846.98 / $12,325.00	Professional		$1,799.40	$1,846.98	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,865.42	Facility		$640.00	$640.00	$1,865.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,578.80 / $2,143.51 / $3,621.24	Professional		$1,578.80	$2,143.51	$3,621.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,567.66 / $2,006.60 / $2,359.64	Professional		$1,567.66	$2,006.60	$2,359.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,644.14 / $2,166.62 / $3,109.46	Facility		$1,644.14	$2,166.62	$3,109.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,064.00 / $2,322.00 / $3,073.00	Professional		$2,064.00	$2,322.00	$3,073.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,524.10 / $2,106.23 / $7,048.69	Facility		$1,524.10	$2,106.23	$7,048.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,524.10 / $2,106.23 / $7,048.69	Professional		$1,524.10	$2,106.23	$7,048.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,273.89 / $1,980.84 / $3,135.47	Professional		$1,273.89	$1,980.84	$3,135.47