Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.32 / $5,380.34 / $18,054.00	Facility		$1,833.32	$5,380.34	$18,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.33 / $1,833.32 / $2,281.16	Professional		$1,550.33	$1,833.32	$2,281.16
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 $1,506.23 / $1,948.89 / $2,754.95	Professional		$1,506.23	$1,948.89	$2,754.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,805.27 / $1,805.27 / $3,520.28	Professional		$1,805.27	$1,805.27	$3,520.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,882.07	Facility		$490.00	$610.00	$1,882.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.94 / $1,997.12 / $3,579.27	Professional		$1,415.94	$1,997.12	$3,579.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,527.42 / $1,886.81 / $2,676.70	Professional		$1,527.42	$1,886.81	$2,676.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,688.35 / $2,166.66 / $3,155.57	Facility		$1,688.35	$2,166.66	$3,155.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,936.00 / $2,274.25 / $3,808.44	Professional		$1,936.00	$2,274.25	$3,808.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,568.69 / $1,968.27 / $3,650.64	Facility		$1,568.69	$1,968.27	$3,650.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,568.69 / $1,968.27 / $3,650.64	Professional		$1,568.69	$1,968.27	$3,650.64
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 $1,262.48 / $1,851.64 / $3,046.12	Professional		$1,262.48	$1,851.64	$3,046.12