Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.10 / $5,412.00 / $10,767.00	Facility		$1,739.10	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.57 / $1,328.03 / $1,739.10	Professional		$1,038.57	$1,328.03	$1,739.10
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 $1,188.56 / $1,548.50 / $2,188.33	Professional		$1,188.56	$1,548.50	$2,188.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,283.70 / $2,497.00 / $4,337.00	Professional		$1,283.70	$2,497.00	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.01 / $1,495.01 / $1,495.01	Facility		$1,495.01	$1,495.01	$1,495.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.57 / $1,498.35 / $2,444.42	Professional		$1,077.57	$1,498.35	$2,444.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,241.65 / $1,460.77 / $1,865.04	Professional		$1,241.65	$1,460.77	$1,865.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.30 / $1,488.41 / $2,399.96	Facility		$1,148.30	$1,488.41	$2,399.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.00 / $1,674.00 / $2,547.29	Professional		$1,479.00	$1,674.00	$2,547.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,097.81 / $1,566.73 / $9,210.00	Facility		$1,097.81	$1,566.73	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,097.81 / $1,566.73 / $9,210.00	Professional		$1,097.81	$1,566.73	$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 $868.26 / $1,209.31 / $2,139.80	Professional		$868.26	$1,209.31	$2,139.80