Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.23 / $4,771.00 / $9,539.00	Facility		$1,470.23	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.68 / $1,470.23 / $1,811.47	Professional		$1,240.68	$1,470.23	$1,811.47
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 $1,206.85 / $1,543.31 / $2,181.62	Professional		$1,206.85	$1,543.31	$2,181.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,454.74 / $1,488.55 / $2,902.67	Professional		$1,454.74	$1,488.55	$2,902.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,491.88	Facility		$490.00	$610.00	$1,491.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.35 / $1,627.91 / $2,826.41	Professional		$1,209.35	$1,627.91	$2,826.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.18 / $1,491.22 / $2,235.88	Professional		$1,207.18	$1,491.22	$2,235.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,327.46 / $1,689.07 / $2,505.23	Facility		$1,327.46	$1,689.07	$2,505.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,590.00 / $1,864.87 / $3,019.08	Professional		$1,590.00	$1,864.87	$3,019.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,278.83 / $1,621.11 / $2,889.81	Facility		$1,278.83	$1,621.11	$2,889.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,278.83 / $1,621.11 / $2,889.81	Professional		$1,278.83	$1,621.11	$2,889.81
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 $1,030.45 / $1,534.96 / $2,485.41	Professional		$1,030.45	$1,534.96	$2,485.41