Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.18 / $5,087.00 / $8,925.00	Facility		$1,377.18	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.08 / $1,277.10 / $2,503.13	Professional		$1,095.08	$1,277.10	$2,503.13
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 $1,138.33 / $1,455.67 / $2,406.65	Professional		$1,138.33	$1,455.67	$2,406.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,321.08 / $1,385.12 / $17,559.00	Professional		$1,321.08	$1,385.12	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,388.99	Facility		$640.00	$640.00	$1,388.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.64 / $1,555.30 / $2,681.87	Professional		$1,184.64	$1,555.30	$2,681.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.41 / $1,500.68 / $1,769.24	Professional		$1,172.41	$1,500.68	$1,769.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,263.55 / $1,613.39 / $2,417.55	Facility		$1,263.55	$1,613.39	$2,417.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,524.00 / $1,719.00 / $2,376.00	Professional		$1,524.00	$1,719.00	$2,376.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,176.55 / $1,549.11 / $4,903.00	Facility		$1,176.55	$1,549.11	$4,903.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,176.55 / $1,549.11 / $4,903.00	Professional		$1,176.55	$1,549.11	$4,903.00
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 $942.81 / $1,491.38 / $2,349.13	Professional		$942.81	$1,491.38	$2,349.13