Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.60 / $4,771.00 / $9,539.00	Facility		$1,405.60	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.65 / $1,405.60 / $1,679.61	Professional		$1,151.65	$1,405.60	$1,679.61
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 $1,148.17 / $1,468.25 / $2,427.44	Professional		$1,148.17	$1,468.25	$2,427.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,499.14 / $1,499.14 / $2,833.37	Professional		$1,499.14	$1,499.14	$2,833.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $1,407.20 / $1,700.00	Facility		$1,407.20	$1,407.20	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.92 / $1,584.97 / $2,799.42	Professional		$1,163.92	$1,584.97	$2,799.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.08 / $1,511.78 / $1,776.54	Professional		$1,181.08	$1,511.78	$1,776.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,269.93 / $1,665.85 / $2,572.25	Facility		$1,269.93	$1,665.85	$2,572.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,582.00 / $1,794.00 / $2,432.00	Professional		$1,582.00	$1,794.00	$2,432.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,217.78 / $1,628.81 / $5,324.41	Facility		$1,217.78	$1,628.81	$5,324.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,217.78 / $1,628.81 / $5,324.41	Professional		$1,217.78	$1,628.81	$5,324.41
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 $962.12 / $1,521.36 / $2,385.79	Professional		$962.12	$1,521.36	$2,385.79