Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,040.00 / $10,637.11	Facility		$1,749.00	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.80 / $1,512.59 / $1,967.41	Professional		$1,166.80	$1,512.59	$1,967.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,313.97 / $1,700.12 / $2,810.80	Professional		$1,313.97	$1,700.12	$2,810.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $1,592.61 / $3,010.03	Professional		$910.00	$1,592.61	$3,010.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,612.82	Facility		$900.00	$900.00	$1,612.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.16 / $1,682.29 / $3,097.31	Professional		$1,361.16	$1,682.29	$3,097.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,361.16 / $1,743.96 / $2,061.05	Professional		$1,361.16	$1,743.96	$2,061.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,361.16 / $1,785.39 / $2,660.13	Facility		$1,361.16	$1,785.39	$2,660.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,617.00 / $1,864.00 / $2,658.00	Professional		$1,617.00	$1,864.00	$2,658.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,327.90 / $1,731.17 / $3,374.77	Facility		$1,327.90	$1,731.17	$3,374.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,327.90 / $1,731.17 / $3,374.77	Professional		$1,327.90	$1,731.17	$3,374.77
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 $1,042.68 / $1,688.59 / $2,681.81	Professional		$1,042.68	$1,688.59	$2,681.81