Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.73 / $6,470.00 / $14,798.00	Facility		$1,400.73	$6,470.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.48 / $1,347.44 / $1,692.69	Professional		$1,160.48	$1,347.44	$1,692.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.70 / $1,403.40 / $1,936.95	Professional		$1,083.70	$1,403.40	$1,936.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,270.09 / $1,289.99 / $5,354.00	Professional		$1,270.09	$1,289.99	$5,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,340.26 / $1,340.26 / $1,340.26	Facility		$1,340.26	$1,340.26	$1,340.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.78 / $1,405.09 / $2,364.41	Professional		$1,121.78	$1,405.09	$2,364.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,245.95 / $1,377.11 / $1,639.41	Professional		$1,245.95	$1,377.11	$1,639.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,133.57 / $1,428.29 / $2,143.33	Facility		$1,133.57	$1,428.29	$2,143.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,465.00 / $1,677.00 / $2,504.00	Professional		$1,465.00	$1,677.00	$2,504.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,080.99 / $1,481.12 / $9,040.00	Facility		$1,080.99	$1,481.12	$9,040.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,080.99 / $1,481.12 / $9,040.00	Professional		$1,080.99	$1,481.12	$9,040.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $942.79 / $1,249.42 / $2,162.62	Professional		$942.79	$1,249.42	$2,162.62