Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $8,925.00	Facility		$1,244.00	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.61 / $1,225.04 / $1,435.95	Professional		$1,052.61	$1,225.04	$1,435.95
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 $981.13 / $1,270.57 / $1,753.63	Professional		$981.13	$1,270.57	$1,753.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.83 / $1,168.50 / $5,895.00	Professional		$1,148.83	$1,168.50	$5,895.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.91 / $1,214.91 / $1,214.91	Facility		$1,214.91	$1,214.91	$1,214.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.45 / $1,278.63 / $2,142.81	Professional		$1,044.45	$1,278.63	$2,142.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,128.46 / $1,247.24 / $1,484.81	Professional		$1,128.46	$1,247.24	$1,484.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,038.82 / $1,306.49 / $1,994.11	Facility		$1,038.82	$1,306.49	$1,994.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,490.00 / $2,511.05	Professional		$1,218.00	$1,490.00	$2,511.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.61 / $1,387.77 / $9,040.00	Facility		$1,071.61	$1,387.77	$9,040.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.61 / $1,387.77 / $9,040.00	Professional		$1,071.61	$1,387.77	$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 $841.49 / $1,150.86 / $1,965.23	Professional		$841.49	$1,150.86	$1,965.23