Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.00 / $2,561.00 / $8,294.00	Facility		$1,397.00	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.08 / $1,472.81 / $1,758.16	Professional		$1,158.08	$1,472.81	$1,758.16
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 $1,198.57 / $1,532.70 / $2,534.01	Professional		$1,198.57	$1,532.70	$2,534.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,264.86 / $2,390.60	Professional		$916.00	$1,264.86	$2,390.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $1,470.59	Facility		$420.00	$420.00	$1,470.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.33 / $1,635.35 / $2,917.60	Professional		$1,202.33	$1,635.35	$2,917.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,231.93 / $1,576.87 / $1,851.54	Professional		$1,231.93	$1,576.87	$1,851.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,208.77 / $1,695.51 / $2,483.34	Facility		$1,208.77	$1,695.51	$2,483.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,662.00 / $1,807.00 / $2,458.00	Professional		$1,662.00	$1,807.00	$2,458.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,237.43 / $1,674.43 / $5,568.06	Facility		$1,237.43	$1,674.43	$5,568.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,237.43 / $1,674.43 / $5,568.06	Professional		$1,237.43	$1,674.43	$5,568.06
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 $1,016.79 / $1,636.71 / $2,429.01	Professional		$1,016.79	$1,636.71	$2,429.01