Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,601.17 / $4,771.00 / $9,539.00	Facility		$1,601.17	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.73 / $1,601.17 / $1,954.68	Professional		$1,342.73	$1,601.17	$1,954.68
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 $1,289.67 / $1,665.50 / $2,358.84	Professional		$1,289.67	$1,665.50	$2,358.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,571.14 / $1,573.89 / $3,063.72	Professional		$1,571.14	$1,573.89	$3,063.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,612.09	Facility		$490.00	$610.00	$1,612.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.63 / $1,728.88 / $3,067.40	Professional		$1,183.63	$1,728.88	$3,067.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.25 / $1,614.84 / $2,320.75	Professional		$1,307.25	$1,614.84	$2,320.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,427.00 / $1,815.79 / $2,718.44	Facility		$1,427.00	$1,815.79	$2,718.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,673.00 / $1,989.00 / $3,260.54	Professional		$1,673.00	$1,989.00	$3,260.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,336.49 / $1,715.90 / $3,128.25	Facility		$1,336.49	$1,715.90	$3,128.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,336.49 / $1,715.90 / $3,128.25	Professional		$1,336.49	$1,715.90	$3,128.25
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 $1,087.78 / $1,611.67 / $2,644.60	Professional		$1,087.78	$1,611.67	$2,644.60