Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.22 / $5,087.00 / $8,294.00	Facility		$1,619.22	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.19 / $1,619.22 / $1,930.45	Professional		$1,284.19	$1,619.22	$1,930.45
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 $1,302.11 / $1,684.79 / $2,785.46	Professional		$1,302.11	$1,684.79	$2,785.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,689.33 / $1,765.07 / $15,406.00	Professional		$1,689.33	$1,765.07	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,616.23	Facility		$640.00	$640.00	$1,616.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.70 / $1,833.28 / $3,208.52	Professional		$1,356.70	$1,833.28	$3,208.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.46 / $1,733.71 / $2,036.16	Professional		$1,354.46	$1,733.71	$2,036.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,446.81 / $1,894.49 / $2,693.44	Facility		$1,446.81	$1,894.49	$2,693.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,790.00 / $2,054.23 / $2,827.00	Professional		$1,790.00	$2,054.23	$2,827.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,377.98 / $1,870.11 / $6,117.85	Facility		$1,377.98	$1,870.11	$6,117.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,377.98 / $1,870.11 / $6,117.85	Professional		$1,377.98	$1,870.11	$6,117.85
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 $1,105.73 / $1,734.07 / $2,739.70	Professional		$1,105.73	$1,734.07	$2,739.70