Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.21 / $5,412.00 / $15,165.00	Facility		$1,434.21	$5,412.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.32 / $1,434.21 / $1,769.19	Professional		$1,219.32	$1,434.21	$1,769.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,899.00 / $17,046.58 / $23,861.81	Facility		$8,899.00	$17,046.58	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.09 / $1,509.91 / $2,147.54	Professional		$1,186.09	$1,509.91	$2,147.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,343.91 / $1,343.91 / $2,701.26	Professional		$1,343.91	$1,343.91	$2,701.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,455.76	Facility		$490.00	$610.00	$1,455.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.88 / $1,582.32 / $2,856.75	Professional		$1,134.88	$1,582.32	$2,856.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.38 / $1,464.29 / $2,091.84	Professional		$1,185.38	$1,464.29	$2,091.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,315.10 / $1,655.65 / $2,391.31	Facility		$1,315.10	$1,655.65	$2,391.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,557.41 / $1,804.55 / $2,952.29	Professional		$1,557.41	$1,804.55	$2,952.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,255.47 / $1,566.17 / $2,996.51	Facility		$1,255.47	$1,566.17	$2,996.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,255.47 / $1,566.17 / $2,996.51	Professional		$1,255.47	$1,566.17	$2,996.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $993.05 / $1,483.67 / $2,401.19	Professional		$993.05	$1,483.67	$2,401.19