Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.53 / $5,412.00 / $11,425.00	Facility		$1,370.53	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.77 / $1,266.36 / $1,724.13	Professional		$1,112.77	$1,266.36	$1,724.13
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 $1,129.42 / $1,444.28 / $2,387.82	Professional		$1,129.42	$1,444.28	$2,387.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,401.37 / $1,445.93 / $9,951.00	Professional		$1,401.37	$1,445.93	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,378.21	Facility		$640.00	$640.00	$1,378.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.39 / $1,542.75 / $2,666.62	Professional		$1,175.39	$1,542.75	$2,666.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.18 / $1,488.87 / $1,754.69	Professional		$1,163.18	$1,488.87	$1,754.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,249.58 / $1,601.87 / $2,370.77	Facility		$1,249.58	$1,601.87	$2,370.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,486.00 / $1,703.00 / $2,370.00	Professional		$1,486.00	$1,703.00	$2,370.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,167.21 / $1,546.68 / $5,191.21	Facility		$1,167.21	$1,546.68	$5,191.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,167.21 / $1,546.68 / $5,191.21	Professional		$1,167.21	$1,546.68	$5,191.21
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 $938.07 / $1,499.33 / $2,260.31	Professional		$938.07	$1,499.33	$2,260.31