Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.86 / $4,796.00 / $9,539.00	Facility		$1,715.86	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.23 / $1,715.86 / $2,107.98	Professional		$1,447.23	$1,715.86	$2,107.98
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 $1,376.05 / $1,793.00 / $2,510.52	Professional		$1,376.05	$1,793.00	$2,510.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,691.61 / $1,695.36 / $3,298.64	Professional		$1,691.61	$1,695.36	$3,298.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,739.15	Facility		$490.00	$610.00	$1,739.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.11 / $1,857.37 / $3,307.33	Professional		$1,302.11	$1,857.37	$3,307.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.91 / $1,739.18 / $2,484.54	Professional		$1,407.91	$1,739.18	$2,484.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,508.98 / $1,952.13 / $2,899.80	Facility		$1,508.98	$1,952.13	$2,899.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,854.00 / $2,126.00 / $3,513.89	Professional		$1,854.00	$2,126.00	$3,513.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,449.32 / $1,849.32 / $3,372.92	Facility		$1,449.32	$1,849.32	$3,372.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,449.32 / $1,849.32 / $3,372.92	Professional		$1,449.32	$1,849.32	$3,372.92
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 $1,179.41 / $1,738.50 / $2,852.71	Professional		$1,179.41	$1,738.50	$2,852.71