Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.30 / $3,645.00 / $8,294.00	Facility		$1,330.30	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.96 / $1,330.30 / $1,588.90	Professional		$1,051.96	$1,330.30	$1,588.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.08 / $1,388.86 / $2,296.19	Professional		$1,086.08	$1,388.86	$2,296.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,146.03 / $1,253.26 / $7,889.00	Professional		$1,146.03	$1,253.26	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,330.88	Facility		$572.00	$572.00	$1,330.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.18 / $1,485.35 / $2,646.62	Professional		$1,098.18	$1,485.35	$2,646.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.45 / $1,429.06 / $1,679.57	Professional		$1,116.45	$1,429.06	$1,679.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.43 / $1,545.99 / $2,214.69	Facility		$1,148.43	$1,545.99	$2,214.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,463.00 / $1,643.00 / $2,349.00	Professional		$1,463.00	$1,643.00	$2,349.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,121.65 / $1,529.83 / $5,028.89	Facility		$1,121.65	$1,529.83	$5,028.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,121.65 / $1,529.83 / $5,028.89	Professional		$1,121.65	$1,529.83	$5,028.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.48 / $1,509.56 / $2,316.94	Professional		$943.48	$1,509.56	$2,316.94