Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,897.79 / $8,317.64	Facility		$1,148.15	$4,897.79	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,818.38	Professional		$912.01	$1,071.52	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,511.89	Professional		$1,000.00	$1,445.44	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $4,365.16	Professional		$1,000.00	$1,445.44	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,137.96	Professional		$954.99	$1,230.27	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Professional		$912.01	$1,148.15	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,344.23	Professional		$1,202.26	$1,513.56	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,041.74	Facility		$954.99	$1,318.26	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $3,630.78	Facility		$912.01	$1,288.25	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $3,630.78	Professional		$912.01	$1,288.25	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,995.26	Professional		$724.44	$1,148.15	$1,995.26