Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.07 / $5,636.00 / $14,187.00	Facility		$1,574.07	$5,636.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.18 / $1,574.07 / $1,859.93	Professional		$1,292.18	$1,574.07	$1,859.93
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 $1,282.77 / $1,640.38 / $2,712.04	Professional		$1,282.77	$1,640.38	$2,712.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,539.69 / $1,589.90 / $9,951.00	Professional		$1,539.69	$1,589.90	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.90 / $1,570.90 / $1,700.00	Facility		$1,570.90	$1,570.90	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.04 / $1,739.47 / $3,122.87	Professional		$1,311.04	$1,739.47	$3,122.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.55 / $1,676.92 / $1,981.81	Professional		$1,302.55	$1,676.92	$1,981.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,424.36 / $1,841.22 / $2,880.55	Facility		$1,424.36	$1,841.22	$2,880.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,745.00 / $1,981.54 / $2,692.00	Professional		$1,745.00	$1,981.54	$2,692.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,310.49 / $1,788.11 / $5,929.55	Facility		$1,310.49	$1,788.11	$5,929.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,310.49 / $1,788.11 / $5,929.55	Professional		$1,310.49	$1,788.11	$5,929.55
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 $1,076.78 / $1,722.84 / $2,613.57	Professional		$1,076.78	$1,722.84	$2,613.57