Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.06 / $5,412.00 / $11,425.00	Facility		$1,412.06	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.02 / $1,295.58 / $1,704.85	Professional		$1,135.02	$1,295.58	$1,704.85
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 $1,155.24 / $1,477.29 / $2,442.40	Professional		$1,155.24	$1,477.29	$2,442.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,431.20 / $1,475.11 / $9,951.00	Professional		$1,431.20	$1,475.11	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,413.76	Facility		$640.00	$640.00	$1,413.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.43 / $1,569.69 / $2,745.81	Professional		$1,140.43	$1,569.69	$2,745.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,189.00 / $1,521.92 / $1,790.28	Professional		$1,189.00	$1,521.92	$1,790.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,274.74 / $1,619.77 / $2,311.86	Facility		$1,274.74	$1,619.77	$2,311.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,519.00 / $1,730.00 / $2,423.00	Professional		$1,519.00	$1,730.00	$2,423.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,130.73 / $1,579.38 / $5,345.46	Facility		$1,130.73	$1,579.38	$5,345.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,130.73 / $1,579.38 / $5,345.46	Professional		$1,130.73	$1,579.38	$5,345.46
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 $942.03 / $1,416.69 / $2,324.66	Professional		$942.03	$1,416.69	$2,324.66