Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.29 / $5,293.00 / $14,112.00	Facility		$1,435.29	$5,293.00	$14,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.36 / $1,331.74 / $1,924.36	Professional		$1,166.36	$1,331.74	$1,924.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.89 / $1,517.77 / $2,509.32	Professional		$1,186.89	$1,517.77	$2,509.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,395.18 / $1,443.10 / $7,369.00	Professional		$1,395.18	$1,443.10	$7,369.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,448.89	Facility		$640.00	$640.00	$1,448.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.97 / $1,626.33 / $2,803.26	Professional		$1,219.97	$1,626.33	$2,803.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,222.58 / $1,564.92 / $1,844.14	Professional		$1,222.58	$1,564.92	$1,844.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,284.33 / $1,679.29 / $2,410.64	Facility		$1,284.33	$1,679.29	$2,410.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,597.00 / $1,801.00 / $2,379.00	Professional		$1,597.00	$1,801.00	$2,379.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,222.27 / $1,619.86 / $4,903.00	Facility		$1,222.27	$1,619.86	$4,903.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,222.27 / $1,619.86 / $4,903.00	Professional		$1,222.27	$1,619.86	$4,903.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,024.00 / $26,537.00	Facility		$7,408.00	$13,024.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.14 / $1,540.98 / $2,427.21	Professional		$986.14	$1,540.98	$2,427.21