Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.19 / $5,048.00 / $9,918.00	Facility		$1,795.19	$5,048.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.75 / $1,795.19 / $2,208.85	Professional		$1,522.75	$1,795.19	$2,208.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.13 / $8,012.60 / $11,216.04	Facility		$5,362.13	$8,012.60	$11,216.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,475.46 / $1,886.79 / $2,687.18	Professional		$1,475.46	$1,886.79	$2,687.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,757.37 / $1,780.91 / $3,426.87	Professional		$1,757.37	$1,780.91	$3,426.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,821.35	Facility		$490.00	$610.00	$1,821.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.80 / $1,965.06 / $3,466.87	Professional		$1,395.80	$1,965.06	$3,466.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.55 / $1,827.68 / $2,601.80	Professional		$1,479.55	$1,827.68	$2,601.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,652.26 / $2,066.00 / $3,076.67	Facility		$1,652.26	$2,066.00	$3,076.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,918.09 / $2,226.00 / $3,687.89	Professional		$1,918.09	$2,226.00	$3,687.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,569.93 / $1,939.33 / $3,535.68	Facility		$1,569.93	$1,939.33	$3,535.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,569.93 / $1,939.33 / $3,535.68	Professional		$1,569.93	$1,939.33	$3,535.68
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 $1,239.80 / $1,869.22 / $3,303.60	Professional		$1,239.80	$1,869.22	$3,303.60