Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.90 / $4,771.00 / $9,539.00	Facility		$1,476.90	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.94 / $1,476.90 / $1,811.60	Professional		$1,245.94	$1,476.90	$1,811.60
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 $1,184.24 / $1,543.07 / $2,160.58	Professional		$1,184.24	$1,543.07	$2,160.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,448.82 / $1,460.68 / $2,825.20	Professional		$1,448.82	$1,460.68	$2,825.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,494.88	Facility		$490.00	$610.00	$1,494.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.26 / $1,596.08 / $2,842.47	Professional		$1,120.26	$1,596.08	$2,842.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.05 / $1,499.70 / $2,142.44	Professional		$1,214.05	$1,499.70	$2,142.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,315.08 / $1,677.42 / $2,495.96	Facility		$1,315.08	$1,677.42	$2,495.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.00 / $1,810.00 / $3,025.18	Professional		$1,548.00	$1,810.00	$3,025.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,242.33 / $1,588.05 / $2,899.16	Facility		$1,242.33	$1,588.05	$2,899.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,242.33 / $1,588.05 / $2,899.16	Professional		$1,242.33	$1,588.05	$2,899.16
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $6,380.00	Facility		$327.00	$2,397.00	$6,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.16 / $1,493.32 / $2,581.67	Professional		$1,014.16	$1,493.32	$2,581.67