Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,926.89 / $4,796.00 / $9,539.00	Facility		$1,926.89	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.63 / $1,926.89 / $2,361.87	Professional		$1,619.63	$1,926.89	$2,361.87
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 $1,574.73 / $2,013.73 / $2,846.60	Professional		$1,574.73	$2,013.73	$2,846.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,894.73 / $1,896.60 / $3,694.72	Professional		$1,894.73	$1,896.60	$3,694.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,948.55	Facility		$490.00	$610.00	$1,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.29 / $2,091.42 / $3,705.59	Professional		$1,481.29	$2,091.42	$3,705.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,574.16 / $1,944.55 / $2,777.93	Professional		$1,574.16	$1,944.55	$2,777.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,710.99 / $2,188.91 / $3,256.44	Facility		$1,710.99	$2,188.91	$3,256.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,100.79 / $2,380.00 / $3,932.64	Professional		$2,100.79	$2,380.00	$3,932.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,669.28 / $2,073.37 / $3,738.16	Facility		$1,669.28	$2,073.37	$3,738.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,669.28 / $2,073.37 / $3,738.16	Professional		$1,669.28	$2,073.37	$3,738.16
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 $1,329.29 / $1,970.29 / $3,243.26	Professional		$1,329.29	$1,970.29	$3,243.26