Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,329.76 / $5,412.00 / $11,425.00	Facility		$1,329.76	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.51 / $1,232.93 / $1,672.73	Professional		$1,078.51	$1,232.93	$1,672.73
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 $1,098.99 / $1,405.37 / $2,323.48	Professional		$1,098.99	$1,405.37	$2,323.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,354.29 / $1,405.33 / $7,257.00	Professional		$1,354.29	$1,405.33	$7,257.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,342.78	Facility		$640.00	$640.00	$1,342.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.05 / $1,524.88 / $2,598.80	Professional		$1,159.05	$1,524.88	$2,598.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,130.78 / $1,447.40 / $1,704.33	Professional		$1,130.78	$1,447.40	$1,704.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.07 / $1,575.76 / $2,316.00	Facility		$1,230.07	$1,575.76	$2,316.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,465.00 / $1,664.09 / $2,290.00	Professional		$1,465.00	$1,664.09	$2,290.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,168.10 / $1,507.19 / $5,059.17	Facility		$1,168.10	$1,507.19	$5,059.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,168.10 / $1,507.19 / $5,059.17	Professional		$1,168.10	$1,507.19	$5,059.17
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 $919.56 / $1,409.99 / $2,250.17	Professional		$919.56	$1,409.99	$2,250.17