Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.17 / $5,087.00 / $8,294.00	Facility		$1,495.17	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.48 / $1,495.17 / $1,791.65	Professional		$1,207.48	$1,495.17	$1,791.65
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 $1,207.05 / $1,561.78 / $2,582.09	Professional		$1,207.05	$1,561.78	$2,582.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,449.06 / $1,496.32 / $6,433.00	Professional		$1,449.06	$1,496.32	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,498.38	Facility		$640.00	$640.00	$1,498.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.08 / $1,654.11 / $2,974.30	Professional		$1,246.08	$1,654.11	$2,974.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.81 / $1,607.44 / $1,887.52	Professional		$1,255.81	$1,607.44	$1,887.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,343.09 / $1,720.32 / $2,476.03	Facility		$1,343.09	$1,720.32	$2,476.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,635.00 / $1,892.00 / $2,622.00	Professional		$1,635.00	$1,892.00	$2,622.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,277.35 / $1,708.21 / $5,674.52	Facility		$1,277.35	$1,708.21	$5,674.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,277.35 / $1,708.21 / $5,674.52	Professional		$1,277.35	$1,708.21	$5,674.52
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 $999.99 / $1,574.52 / $2,593.63	Professional		$999.99	$1,574.52	$2,593.63