Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.01 / $4,771.00 / $9,539.00	Facility		$1,570.01	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.15 / $1,570.01 / $1,801.29	Professional		$1,167.15	$1,570.01	$1,801.29
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 $1,299.06 / $1,661.21 / $2,746.47	Professional		$1,299.06	$1,661.21	$2,746.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,523.03 / $1,523.03 / $2,878.53	Professional		$1,523.03	$1,523.03	$2,878.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.07 / $1,585.07 / $1,700.00	Facility		$1,585.07	$1,585.07	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.56 / $1,640.54 / $3,109.64	Professional		$1,262.56	$1,640.54	$3,109.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.83 / $1,705.43 / $2,015.51	Professional		$1,317.83	$1,705.43	$2,015.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,377.65 / $1,810.77 / $2,669.02	Facility		$1,377.65	$1,810.77	$2,669.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,590.00 / $1,798.00 / $2,544.00	Professional		$1,590.00	$1,798.00	$2,544.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,298.83 / $1,719.45 / $5,837.25	Facility		$1,298.83	$1,719.45	$5,837.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,298.83 / $1,719.45 / $5,837.25	Professional		$1,298.83	$1,719.45	$5,837.25
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 $1,030.08 / $1,638.23 / $2,662.01	Professional		$1,030.08	$1,638.23	$2,662.01