Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,004.93 / $5,412.00 / $11,425.00	Facility		$2,004.93	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.42 / $1,837.64 / $2,514.78	Professional		$1,598.42	$1,837.64	$2,514.78
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 $1,594.32 / $2,084.08 / $3,472.07	Professional		$1,594.32	$2,084.08	$3,472.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,036.49 / $2,076.27 / $5,804.00	Professional		$2,036.49	$2,076.27	$5,804.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,999.50	Facility		$640.00	$640.00	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,329.15 / $2,100.98 / $3,893.24	Professional		$1,329.15	$2,100.98	$3,893.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.09 / $2,145.40 / $2,519.54	Professional		$1,676.09	$2,145.40	$2,519.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,440.71 / $2,128.00 / $3,281.21	Facility		$1,440.71	$2,128.00	$3,281.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,563.00 / $2,330.00 / $3,444.00	Professional		$1,563.00	$2,330.00	$3,444.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,230.59 / $2,178.92 / $7,420.00	Facility		$1,230.59	$2,178.92	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,230.59 / $2,178.92 / $7,420.00	Professional		$1,230.59	$2,178.92	$7,420.00
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 $1,095.66 / $1,789.58 / $3,542.63	Professional		$1,095.66	$1,789.58	$3,542.63