Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,975.00	Facility		$1,538.00	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.41 / $1,258.07 / $1,645.35	Professional		$1,026.41	$1,258.07	$1,645.35
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 $1,140.95 / $1,465.48 / $2,071.01	Professional		$1,140.95	$1,465.48	$2,071.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,368.17 / $2,725.44 / $5,354.00	Professional		$1,368.17	$2,725.44	$5,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.85 / $1,414.85 / $1,414.85	Facility		$1,414.85	$1,414.85	$1,414.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.67 / $1,460.66 / $2,484.48	Professional		$1,076.67	$1,460.66	$2,484.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.50 / $1,380.59 / $1,764.65	Professional		$1,173.50	$1,380.59	$1,764.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,087.99 / $1,449.62 / $2,270.58	Facility		$1,087.99	$1,449.62	$2,270.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,437.00 / $1,624.00 / $2,412.73	Professional		$1,437.00	$1,624.00	$2,412.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,073.41 / $1,541.03 / $9,210.00	Facility		$1,073.41	$1,541.03	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,073.41 / $1,541.03 / $9,210.00	Professional		$1,073.41	$1,541.03	$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 $845.34 / $1,207.63 / $2,094.94	Professional		$845.34	$1,207.63	$2,094.94