Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.42 / $5,412.00 / $18,054.00	Facility		$1,428.42	$5,412.00	$18,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.30 / $1,428.42 / $1,774.57	Professional		$1,221.30	$1,428.42	$1,774.57
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 $1,172.11 / $1,516.59 / $2,155.21	Professional		$1,172.11	$1,516.59	$2,155.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,281.01 / $1,423.34 / $2,775.51	Professional		$1,281.01	$1,423.34	$2,775.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,463.94	Facility		$490.00	$610.00	$1,463.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.08 / $1,563.43 / $2,784.78	Professional		$1,110.08	$1,563.43	$2,784.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,189.32 / $1,469.16 / $2,098.80	Professional		$1,189.32	$1,469.16	$2,098.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,316.79 / $1,648.98 / $2,475.19	Facility		$1,316.79	$1,648.98	$2,475.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,501.00 / $1,791.61 / $2,964.24	Professional		$1,501.00	$1,791.61	$2,964.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,252.76 / $1,559.23 / $3,007.78	Facility		$1,252.76	$1,559.23	$3,007.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,252.76 / $1,559.23 / $3,007.78	Professional		$1,252.76	$1,559.23	$3,007.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,376.00 / $21,401.00	Facility		$1,745.00	$10,376.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.99 / $1,451.30 / $2,398.57	Professional		$992.99	$1,451.30	$2,398.57