Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.04 / $3,633.00 / $8,294.00	Facility		$1,267.04	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.64 / $1,267.04 / $1,513.75	Professional		$1,012.64	$1,267.04	$1,513.75
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 $1,035.38 / $1,324.02 / $2,189.00	Professional		$1,035.38	$1,324.02	$2,189.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,260.99 / $1,260.99 / $5,113.00	Professional		$1,260.99	$1,260.99	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,268.11	Facility		$572.00	$572.00	$1,268.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.82 / $1,413.12 / $2,524.34	Professional		$1,063.82	$1,413.12	$2,524.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.61 / $1,362.71 / $1,601.98	Professional		$1,064.61	$1,362.71	$1,601.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,147.18 / $1,473.25 / $2,099.34	Facility		$1,147.18	$1,473.25	$2,099.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,424.00 / $1,598.00 / $2,172.00	Professional		$1,424.00	$1,598.00	$2,172.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,110.02 / $1,463.20 / $4,789.56	Facility		$1,110.02	$1,463.20	$4,789.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,110.02 / $1,463.20 / $4,789.56	Professional		$1,110.02	$1,463.20	$4,789.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.93 / $1,368.50 / $2,192.29	Professional		$857.93	$1,368.50	$2,192.29