Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.18 / $4,796.00 / $9,539.00	Facility		$1,708.18	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.81 / $1,653.20 / $1,994.22	Professional		$1,386.81	$1,653.20	$1,994.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,336.78 / $1,683.61 / $2,397.82	Professional		$1,336.78	$1,683.61	$2,397.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,578.76 / $1,669.73 / $3,255.97	Professional		$1,578.76	$1,669.73	$3,255.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,636.73	Facility		$490.00	$610.00	$1,636.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.19 / $1,973.34 / $3,284.27	Professional		$1,378.19	$1,973.34	$3,284.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.66 / $1,602.41 / $2,465.01	Professional		$1,307.66	$1,602.41	$2,465.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,496.37 / $2,027.12 / $2,793.91	Facility		$1,496.37	$2,027.12	$2,793.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,808.00 / $2,093.00 / $3,288.31	Professional		$1,808.00	$2,093.00	$3,288.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,498.41 / $1,912.91 / $3,240.06	Facility		$1,498.41	$1,912.91	$3,240.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,498.41 / $1,912.91 / $3,240.06	Professional		$1,498.41	$1,912.91	$3,240.06
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,213.48 / $1,866.18 / $2,812.65	Professional		$1,213.48	$1,866.18	$2,812.65