Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.81 / $5,087.00 / $8,294.00	Facility		$1,507.81	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.71 / $1,399.73 / $1,895.72	Professional		$1,204.71	$1,399.73	$1,895.72
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 $1,297.70 / $1,685.18 / $2,786.10	Professional		$1,297.70	$1,685.18	$2,786.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,436.26 / $1,597.03 / $4,117.00	Professional		$1,436.26	$1,597.03	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,614.43	Facility		$640.00	$640.00	$1,614.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.80 / $1,591.14 / $2,934.70	Professional		$1,163.80	$1,591.14	$2,934.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,355.60 / $1,735.17 / $2,039.58	Professional		$1,355.60	$1,735.17	$2,039.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,285.10 / $1,644.89 / $2,532.17	Facility		$1,285.10	$1,644.89	$2,532.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,484.00 / $1,826.14 / $2,629.00	Professional		$1,484.00	$1,826.14	$2,629.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $838.52 / $1,574.96 / $3,116.72	Facility		$838.52	$1,574.96	$3,116.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $983.84 / $1,615.89 / $3,136.33	Professional		$983.84	$1,615.89	$3,136.33
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 $881.73 / $1,444.36 / $2,626.13	Professional		$881.73	$1,444.36	$2,626.13