Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.70 / $5,388.00 / $11,024.00	Facility		$1,374.70	$5,388.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.41 / $1,275.33 / $2,168.06	Professional		$1,080.41	$1,275.33	$2,168.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.48 / $1,453.31 / $2,402.75	Professional		$1,136.48	$1,453.31	$2,402.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,454.05 / $1,597.72 / $7,889.00	Professional		$1,454.05	$1,597.72	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $1,387.75 / $1,700.00	Facility		$1,387.75	$1,387.75	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.24 / $1,524.02 / $2,683.33	Professional		$1,167.24	$1,524.02	$2,683.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.08 / $1,497.70 / $1,764.44	Professional		$1,170.08	$1,497.70	$1,764.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,274.33 / $1,585.83 / $2,256.92	Facility		$1,274.33	$1,585.83	$2,256.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,504.00 / $1,726.75 / $2,376.00	Professional		$1,504.00	$1,726.75	$2,376.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,521.10 / $5,223.76	Facility		$1,172.56	$1,521.10	$5,223.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,521.10 / $5,223.76	Professional		$1,172.56	$1,521.10	$5,223.76
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 $918.84 / $1,454.39 / $2,347.67	Professional		$918.84	$1,454.39	$2,347.67