Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,412.00 / $10,767.00	Facility		$1,749.00	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,070.15 / $1,369.04 / $1,792.62	Professional		$1,070.15	$1,369.04	$1,792.62
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 $1,227.60 / $1,596.39 / $2,256.00	Professional		$1,227.60	$1,596.39	$2,256.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,333.00 / $1,492.11 / $2,764.00	Professional		$1,333.00	$1,492.11	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.24 / $1,541.24 / $1,541.24	Facility		$1,541.24	$1,541.24	$1,541.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.74 / $1,500.79 / $2,517.76	Professional		$1,112.74	$1,500.79	$2,517.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.30 / $1,505.06 / $1,921.72	Professional		$1,279.30	$1,505.06	$1,921.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,184.92 / $1,538.05 / $2,437.10	Facility		$1,184.92	$1,538.05	$2,437.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,526.00 / $1,710.00 / $2,625.57	Professional		$1,526.00	$1,710.00	$2,625.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,118.59 / $1,615.11 / $9,210.00	Facility		$1,118.59	$1,615.11	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,118.59 / $1,615.11 / $9,210.00	Professional		$1,118.59	$1,615.11	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,321.00	Facility		$6,303.00	$9,270.00	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.56 / $1,268.45 / $2,256.40	Professional		$900.56	$1,268.45	$2,256.40