Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.15 / $4,771.00 / $9,539.00	Facility		$1,294.15	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.28 / $1,294.15 / $1,534.61	Professional		$1,061.28	$1,294.15	$1,534.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.08 / $1,479.65 / $2,446.30	Professional		$1,157.08	$1,479.65	$2,446.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,417.13 / $1,417.13 / $2,678.38	Professional		$1,417.13	$1,417.13	$2,678.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.80 / $1,409.80 / $1,700.00	Facility		$1,409.80	$1,409.80	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,083.28 / $1,414.36 / $2,601.87	Professional		$1,083.28	$1,414.36	$2,601.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.78 / $1,521.60 / $1,798.25	Professional		$1,175.78	$1,521.60	$1,798.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,168.75 / $1,494.66 / $2,238.71	Facility		$1,168.75	$1,494.66	$2,238.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,387.58 / $1,630.00 / $2,281.00	Professional		$1,387.58	$1,630.00	$2,281.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,133.47 / $1,485.46 / $4,883.85	Facility		$1,133.47	$1,485.46	$4,883.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,133.47 / $1,485.46 / $4,883.85	Professional		$1,133.47	$1,485.46	$4,883.85
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.87 / $1,361.39 / $2,151.17	Professional		$850.87	$1,361.39	$2,151.17