Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.99 / $5,087.00 / $8,920.00	Facility		$1,293.99	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.39 / $1,210.17 / $1,671.22	Professional		$1,026.39	$1,210.17	$1,671.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.31 / $1,186.85 / $1,962.23	Professional		$940.31	$1,186.85	$1,962.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,123.36 / $1,254.26 / $6,433.00	Professional		$1,123.36	$1,254.26	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,137.85	Facility		$640.00	$640.00	$1,137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.82 / $1,412.00 / $2,260.91	Professional		$1,018.82	$1,412.00	$2,260.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.84 / $1,235.00 / $1,434.80	Professional		$964.84	$1,235.00	$1,434.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,066.46 / $1,483.02 / $2,128.78	Facility		$1,066.46	$1,483.02	$2,128.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,407.37 / $1,653.00 / $2,291.00	Professional		$1,407.37	$1,653.00	$2,291.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,019.84 / $1,417.13 / $3,512.00	Facility		$1,019.84	$1,417.13	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,019.84 / $1,417.13 / $3,512.00	Professional		$1,019.84	$1,417.13	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $882.87 / $1,445.76 / $2,282.66	Professional		$882.87	$1,445.76	$2,282.66