Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,302.52 / $4,307.00	Facility		$1,479.00	$3,302.52	$4,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,479.00 / $1,479.00	Professional		$1,305.00	$1,479.00	$1,479.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,608.52 / $8,473.79 / $10,701.00	Facility		$6,608.52	$8,473.79	$10,701.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,352.42	Professional		$846.27	$846.27	$1,352.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $1,600.80 / $3,121.56	Professional		$1,392.00	$1,600.80	$3,121.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.00 / $3,835.54 / $8,913.95	Facility		$1,131.00	$3,835.54	$8,913.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.29 / $2,119.29 / $2,539.15	Professional		$2,119.29	$2,119.29	$2,539.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,740.00 / $2,088.00 / $2,575.19	Professional		$1,740.00	$2,088.00	$2,575.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,383.30 / $1,740.00 / $2,958.00	Facility		$1,383.30	$1,740.00	$2,958.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,384.00 / $3,445.20 / $4,176.00	Professional		$2,384.00	$3,445.20	$4,176.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,931.05 / $3,230.48	Facility		$1,218.00	$1,931.05	$3,230.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,978.38 / $3,230.48	Professional		$1,218.00	$1,978.38	$3,230.48
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $904.80 / $2,001.00	Professional		$730.80	$904.80	$2,001.00