Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.67 / $5,412.00 / $11,425.00	Facility		$1,459.67	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,180.43 / $1,346.40 / $1,837.61	Professional		$1,180.43	$1,346.40	$1,837.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,198.26 / $1,532.31 / $2,533.36	Professional		$1,198.26	$1,532.31	$2,533.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,488.72 / $1,530.65 / $9,951.00	Professional		$1,488.72	$1,530.65	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,465.76	Facility		$640.00	$640.00	$1,465.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.90 / $1,655.61 / $2,843.89	Professional		$1,263.90	$1,655.61	$2,843.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.08 / $1,578.34 / $1,857.10	Professional		$1,233.08	$1,578.34	$1,857.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,340.99 / $1,707.81 / $2,449.60	Facility		$1,340.99	$1,707.81	$2,449.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $1,830.07 / $2,518.00	Professional		$1,619.00	$1,830.07	$2,518.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,237.93 / $1,643.93 / $5,536.42	Facility		$1,237.93	$1,643.93	$5,536.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,237.93 / $1,643.93 / $5,536.42	Professional		$1,237.93	$1,643.93	$5,536.42
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.04 / $1,667.39 / $2,626.77	Professional		$1,063.04	$1,667.39	$2,626.77