Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.55 / $4,771.00 / $9,539.00	Facility		$1,225.55	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.28 / $1,225.55 / $1,523.55	Professional		$1,029.28	$1,225.55	$1,523.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,807.00 / $17,284.09 / $24,194.30	Facility		$7,807.00	$17,284.09	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.33 / $1,294.54 / $1,843.70	Professional		$1,012.33	$1,294.54	$1,843.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,223.57 / $1,255.83 / $2,448.89	Professional		$1,223.57	$1,255.83	$2,448.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,246.67	Facility		$490.00	$610.00	$1,246.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.67 / $1,420.72 / $2,443.32	Professional		$1,033.67	$1,420.72	$2,443.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.92 / $1,252.49 / $1,858.99	Professional		$1,013.92	$1,252.49	$1,858.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,141.32 / $1,466.00 / $2,189.86	Facility		$1,141.32	$1,466.00	$2,189.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $1,549.00 / $2,567.21	Professional		$1,367.00	$1,549.00	$2,567.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,109.02 / $1,415.31 / $2,399.91	Facility		$1,109.02	$1,415.31	$2,399.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,109.02 / $1,415.31 / $2,399.91	Professional		$1,109.02	$1,415.31	$2,399.91
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 $875.95 / $1,311.48 / $2,098.28	Professional		$875.95	$1,311.48	$2,098.28