Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.07 / $4,771.00 / $9,539.00	Facility		$1,308.07	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.88 / $1,194.58 / $1,424.14	Professional		$1,058.88	$1,194.58	$1,424.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.95 / $1,367.34 / $1,907.38	Professional		$1,048.95	$1,367.34	$1,907.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,292.32 / $1,292.32 / $2,520.02	Professional		$1,292.32	$1,292.32	$2,520.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,325.54	Facility		$490.00	$610.00	$1,325.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.34 / $1,391.00 / $2,522.30	Professional		$951.34	$1,391.00	$2,522.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.85 / $1,327.71 / $1,896.74	Professional		$1,091.85	$1,327.71	$1,896.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $1,448.60 / $2,184.14	Facility		$1,096.00	$1,448.60	$2,184.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,324.00 / $1,617.00 / $2,678.86	Professional		$1,324.00	$1,617.00	$2,678.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,054.85 / $1,398.42 / $2,572.31	Facility		$1,054.85	$1,398.42	$2,572.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,054.85 / $1,398.42 / $2,572.31	Professional		$1,054.85	$1,398.42	$2,572.31
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.87 / $1,277.48 / $2,295.17	Professional		$894.87	$1,277.48	$2,295.17