Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.43 / $5,412.00 / $15,165.00	Facility		$1,436.43	$5,412.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.72 / $1,436.43 / $1,769.19	Professional		$1,224.72	$1,436.43	$1,769.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,207.00 / $10,161.00 / $11,407.00	Facility		$7,207.00	$10,161.00	$11,407.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,188.99 / $1,509.91 / $2,147.54	Professional		$1,188.99	$1,509.91	$2,147.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,342.75 / $1,342.75 / $2,685.50	Professional		$1,342.75	$1,342.75	$2,685.50
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 $1,135.08 / $1,581.53 / $2,856.75	Professional		$1,135.08	$1,581.53	$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 / $1,657.72 / $2,403.73	Facility		$1,315.10	$1,657.72	$2,403.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,492.60 / $1,808.95 / $2,952.29	Professional		$1,492.60	$1,808.95	$2,952.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,249.18 / $1,566.17 / $2,996.51	Facility		$1,249.18	$1,566.17	$2,996.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,249.18 / $1,566.17 / $2,996.51	Professional		$1,249.18	$1,566.17	$2,996.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,376.00 / $21,401.00	Facility		$1,745.00	$10,376.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $990.53 / $1,462.60 / $2,389.92	Professional		$990.53	$1,462.60	$2,389.92