Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.21 / $5,895.00 / $11,425.00	Facility		$1,747.21	$5,895.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.23 / $1,380.10 / $1,750.78	Professional		$1,086.23	$1,380.10	$1,750.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.84 / $1,588.66 / $2,245.08	Professional		$1,236.84	$1,588.66	$2,245.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,459.27 / $2,845.58 / $6,694.00	Professional		$1,459.27	$2,845.58	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,543.54 / $1,543.54 / $1,543.54	Facility		$1,543.54	$1,543.54	$1,543.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.20 / $1,611.32 / $2,613.80	Professional		$1,214.20	$1,611.32	$2,613.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,269.39 / $1,493.40 / $1,934.91	Professional		$1,269.39	$1,493.40	$1,934.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,275.08 / $1,686.59 / $2,476.54	Facility		$1,275.08	$1,686.59	$2,476.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,673.00 / $1,921.00 / $2,603.04	Professional		$1,673.00	$1,921.00	$2,603.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,224.08 / $1,690.26 / $9,210.00	Facility		$1,224.08	$1,690.26	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,224.08 / $1,690.26 / $9,210.00	Professional		$1,224.08	$1,690.26	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.89 / $1,339.01 / $2,207.25	Professional		$977.89	$1,339.01	$2,207.25