Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.13 / $5,087.00 / $8,294.00	Facility		$1,280.13	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.82 / $1,190.46 / $1,608.53	Professional		$1,050.82	$1,190.46	$1,608.53
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 $1,046.44 / $1,338.17 / $2,212.39	Professional		$1,046.44	$1,338.17	$2,212.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,228.08 / $1,228.08 / $5,113.00	Professional		$1,228.08	$1,228.08	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,285.67	Facility		$640.00	$640.00	$1,285.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.33 / $1,491.67 / $2,482.55	Professional		$1,098.33	$1,491.67	$2,482.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.55 / $1,371.58 / $1,614.39	Professional		$1,071.55	$1,371.58	$1,614.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,167.39 / $1,512.88 / $2,232.66	Facility		$1,167.39	$1,512.88	$2,232.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,425.00 / $1,603.00 / $2,204.00	Professional		$1,425.00	$1,603.00	$2,204.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,107.74 / $1,437.89 / $2,704.83	Facility		$1,107.74	$1,437.89	$2,704.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,107.74 / $1,437.89 / $2,704.83	Professional		$1,107.74	$1,437.89	$2,704.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.85 / $1,425.70 / $2,257.35	Professional		$905.85	$1,425.70	$2,257.35