Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,724.23 / $4,796.00 / $9,539.00	Facility		$1,724.23	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.77 / $1,724.23 / $2,103.50	Professional		$1,401.77	$1,724.23	$2,103.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,807.00 / $17,284.09 / $24,194.30	Facility		$7,807.00	$17,284.09	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.74 / $1,789.41 / $2,504.48	Professional		$1,372.74	$1,789.41	$2,504.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,697.43 / $1,886.03 / $3,677.76	Professional		$1,697.43	$1,886.03	$3,677.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,734.82	Facility		$490.00	$610.00	$1,734.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.63 / $1,851.06 / $3,300.95	Professional		$1,315.63	$1,851.06	$3,300.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.65 / $1,735.16 / $2,483.44	Professional		$1,404.65	$1,735.16	$2,483.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,524.33 / $1,998.51 / $2,913.37	Facility		$1,524.33	$1,998.51	$2,913.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,803.00 / $2,153.00 / $3,505.49	Professional		$1,803.00	$2,153.00	$3,505.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,436.74 / $1,892.61 / $3,559.99	Facility		$1,436.74	$1,892.61	$3,559.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,436.74 / $1,892.61 / $3,559.99	Professional		$1,436.74	$1,892.61	$3,559.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,231.06 / $1,750.37 / $3,053.90	Professional		$1,231.06	$1,750.37	$3,053.90