Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.50 / $7,082.00 / $15,165.00	Facility		$1,468.50	$7,082.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.04 / $1,385.57 / $1,738.64	Professional		$1,202.04	$1,385.57	$1,738.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.73 / $1,483.50 / $2,101.07	Professional		$1,148.73	$1,483.50	$2,101.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,326.43 / $1,332.76 / $2,719.18	Professional		$1,326.43	$1,332.76	$2,719.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,434.80	Facility		$490.00	$610.00	$1,434.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.89 / $1,535.12 / $2,686.42	Professional		$1,079.89	$1,535.12	$2,686.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.67 / $1,439.95 / $2,061.96	Professional		$1,165.67	$1,439.95	$2,061.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,262.28 / $1,622.87 / $2,341.61	Facility		$1,262.28	$1,622.87	$2,341.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,545.08 / $1,756.00 / $2,797.00	Professional		$1,545.08	$1,756.00	$2,797.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,206.17 / $1,556.61 / $2,947.34	Facility		$1,206.17	$1,556.61	$2,947.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,206.17 / $1,556.61 / $2,947.34	Professional		$1,206.17	$1,556.61	$2,947.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,164.00 / $14,968.00 / $31,849.00	Facility		$4,164.00	$14,968.00	$31,849.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.07 / $1,447.41 / $2,477.79	Professional		$977.07	$1,447.41	$2,477.79