Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,511.23 / $5,412.00 / $16,216.00	Facility		$1,511.23	$5,412.00	$16,216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.69 / $1,511.23 / $1,614.40	Professional		$1,188.69	$1,511.23	$1,614.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,449.00 / $17,250.00 / $18,666.00	Facility		$13,449.00	$17,250.00	$18,666.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.46 / $1,496.57 / $2,085.92	Professional		$1,175.46	$1,496.57	$2,085.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,563.61 / $3,256.68 / $42,131.25	Professional		$1,563.61	$3,256.68	$42,131.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,495.00 / $14,985.00 / $40,100.00	Facility		$8,495.00	$14,985.00	$40,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.79 / $1,717.51 / $3,362.14	Professional		$1,333.79	$1,717.51	$3,362.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.29 / $1,448.75 / $1,786.79	Professional		$1,207.29	$1,448.75	$1,786.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,284.55 / $1,779.05 / $2,348.65	Facility		$1,284.55	$1,779.05	$2,348.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,653.00 / $1,879.00 / $2,289.00	Professional		$1,653.00	$1,879.00	$2,289.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,271.33 / $1,741.96 / $20,487.00	Facility		$1,271.33	$1,741.96	$20,487.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,271.33 / $1,741.96 / $20,487.00	Professional		$1,271.33	$1,741.96	$20,487.00
United Facility/Professional Facility Modifier Low / Median / High Price $13,091.00 / $25,331.00 / $64,092.00	Facility		$13,091.00	$25,331.00	$64,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.16 / $1,769.93 / $2,769.96	Professional		$1,168.16	$1,769.93	$2,769.96