Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.05 / $4,771.00 / $9,539.00	Facility		$1,333.05	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.58 / $1,333.05 / $1,629.72	Professional		$1,098.58	$1,333.05	$1,629.72
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 $1,087.68 / $1,407.33 / $1,989.40	Professional		$1,087.68	$1,407.33	$1,989.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,309.90 / $1,328.97 / $2,554.31	Professional		$1,309.90	$1,328.97	$2,554.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,357.84	Facility		$490.00	$610.00	$1,357.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.91 / $1,439.99 / $2,554.59	Professional		$1,019.91	$1,439.99	$2,554.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.92 / $1,364.91 / $1,937.92	Professional		$1,104.92	$1,364.91	$1,937.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,208.99 / $1,519.40 / $2,252.85	Facility		$1,208.99	$1,519.40	$2,252.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,378.00 / $1,653.00 / $2,751.00	Professional		$1,378.00	$1,653.00	$2,751.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,127.58 / $1,437.17 / $2,606.73	Facility		$1,127.58	$1,437.17	$2,606.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,127.58 / $1,437.17 / $2,606.73	Professional		$1,127.58	$1,437.17	$2,606.73
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 $910.97 / $1,342.36 / $2,321.73	Professional		$910.97	$1,342.36	$2,321.73