Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.88 / $7,054.17 / $11,425.00	Facility		$1,434.88	$7,054.17	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.35 / $1,216.64 / $1,805.47	Professional		$993.35	$1,216.64	$1,805.47
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 $1,026.94 / $1,305.60 / $1,845.07	Professional		$1,026.94	$1,305.60	$1,845.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,203.77 / $2,373.79 / $6,694.00	Professional		$1,203.77	$2,373.79	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.49 / $1,266.49 / $1,266.49	Facility		$1,266.49	$1,266.49	$1,266.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.32 / $1,440.55 / $2,157.98	Professional		$1,022.32	$1,440.55	$2,157.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,045.64 / $1,230.16 / $1,591.41	Professional		$1,045.64	$1,230.16	$1,591.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.44 / $1,477.93 / $2,100.06	Facility		$1,047.44	$1,477.93	$2,100.06
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $286.29 / $315.61 / $643.95	Facility	80	$286.29	$315.61	$643.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,425.00 / $1,685.12 / $2,657.93	Professional		$1,425.00	$1,685.12	$2,657.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,079.59 / $1,441.21 / $9,929.00	Facility		$1,079.59	$1,441.21	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,079.59 / $1,441.21 / $9,929.00	Professional		$1,079.59	$1,441.21	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.18 / $1,127.42 / $1,829.40	Professional		$852.18	$1,127.42	$1,829.40