Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.43 / $5,360.00 / $9,539.00	Facility		$1,229.43	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.02 / $1,229.43 / $1,539.39	Professional		$989.02	$1,229.43	$1,539.39
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 $1,001.57 / $1,280.79 / $2,117.53	Professional		$1,001.57	$1,280.79	$2,117.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,158.00 / $1,225.20 / $7,889.00	Professional		$1,158.00	$1,225.20	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,224.10	Facility		$776.00	$776.00	$1,224.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.36 / $1,441.29 / $2,419.38	Professional		$1,052.36	$1,441.29	$2,419.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,026.70 / $1,314.18 / $1,535.37	Professional		$1,026.70	$1,314.18	$1,535.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.09 / $1,437.18 / $2,047.04	Facility		$1,071.09	$1,437.18	$2,047.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,395.00 / $1,575.00 / $2,205.00	Professional		$1,395.00	$1,575.00	$2,205.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,085.73 / $1,460.86 / $4,734.87	Facility		$1,085.73	$1,460.86	$4,734.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,085.73 / $1,460.86 / $4,734.87	Professional		$1,085.73	$1,460.86	$4,734.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,074.00 / $21,639.00	Facility		$6,423.00	$11,074.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $891.88 / $1,415.98 / $2,146.92	Professional		$891.88	$1,415.98	$2,146.92