Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.63 / $4,771.00 / $9,539.00	Facility		$1,508.63	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.72 / $1,508.63 / $1,890.88	Professional		$1,229.72	$1,508.63	$1,890.88
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 $1,227.84 / $1,576.32 / $2,228.28	Professional		$1,227.84	$1,576.32	$2,228.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,455.28 / $1,487.23 / $2,837.80	Professional		$1,455.28	$1,487.23	$2,837.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,522.36	Facility		$490.00	$610.00	$1,522.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.35 / $1,630.94 / $2,899.38	Professional		$1,145.35	$1,630.94	$2,899.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.66 / $1,526.41 / $2,180.58	Professional		$1,235.66	$1,526.41	$2,180.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,370.20 / $1,711.03 / $2,549.58	Facility		$1,370.20	$1,711.03	$2,549.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,607.00 / $1,874.00 / $3,080.57	Professional		$1,607.00	$1,874.00	$3,080.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,289.74 / $1,620.55 / $2,956.44	Facility		$1,289.74	$1,620.55	$2,956.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,289.74 / $1,620.55 / $2,956.44	Professional		$1,289.74	$1,620.55	$2,956.44
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 $1,033.46 / $1,546.66 / $2,531.60	Professional		$1,033.46	$1,546.66	$2,531.60