Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.90 / $5,412.00 / $11,425.00	Facility		$1,368.90	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,349.70 / $1,683.74	Professional		$776.25	$1,349.70	$1,683.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.89 / $1,104.72 / $1,826.43	Professional		$863.89	$1,104.72	$1,826.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,293.55 / $1,293.55 / $9,951.00	Professional		$1,293.55	$1,293.55	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,495.62	Facility		$640.00	$640.00	$1,495.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.94 / $1,740.97 / $3,084.51	Professional		$1,109.94	$1,740.97	$3,084.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,251.28 / $1,601.13 / $1,851.89	Professional		$1,251.28	$1,601.13	$1,851.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,163.57 / $1,546.86 / $2,292.17	Facility		$1,163.57	$1,546.86	$2,292.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,792.25 / $2,205.00 / $3,093.24	Professional		$1,792.25	$2,205.00	$3,093.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,860.91 / $9,929.00	Facility		$1,254.96	$1,860.91	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,254.96 / $1,860.91 / $9,929.00	Professional		$1,254.96	$1,860.91	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.65 / $1,141.31 / $2,290.46	Professional		$677.65	$1,141.31	$2,290.46