Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.22 / $5,087.00 / $8,920.00	Facility		$1,548.22	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.46 / $1,548.22 / $1,948.05	Professional		$1,262.46	$1,548.22	$1,948.05
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 $1,256.46 / $1,617.59 / $2,674.36	Professional		$1,256.46	$1,617.59	$2,674.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,547.86 / $1,650.00 / $15,406.00	Professional		$1,547.86	$1,650.00	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,551.17	Facility		$640.00	$640.00	$1,551.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.97 / $1,728.91 / $3,082.63	Professional		$1,295.97	$1,728.91	$3,082.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,300.94 / $1,665.20 / $1,956.27	Professional		$1,300.94	$1,665.20	$1,956.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,400.11 / $1,809.77 / $2,562.19	Facility		$1,400.11	$1,809.77	$2,562.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,765.00 / $2,001.28 / $2,753.00	Professional		$1,765.00	$2,001.28	$2,753.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,306.02 / $1,782.24 / $5,868.22	Facility		$1,306.02	$1,782.24	$5,868.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,306.02 / $1,782.24 / $5,868.22	Professional		$1,306.02	$1,782.24	$5,868.22
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 $1,058.99 / $1,657.09 / $2,631.01	Professional		$1,058.99	$1,657.09	$2,631.01