Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.65 / $4,796.00 / $9,918.00	Facility		$1,475.65	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.03 / $1,475.65 / $1,815.11	Professional		$1,248.03	$1,475.65	$1,815.11
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 $1,187.81 / $1,518.95 / $2,163.29	Professional		$1,187.81	$1,518.95	$2,163.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,430.68 / $1,522.57 / $2,969.01	Professional		$1,430.68	$1,522.57	$2,969.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,468.20	Facility		$490.00	$610.00	$1,468.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.23 / $1,622.10 / $2,828.86	Professional		$1,143.23	$1,622.10	$2,828.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.29 / $1,471.68 / $2,237.65	Professional		$1,187.29	$1,471.68	$2,237.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,332.16 / $1,695.71 / $2,548.85	Facility		$1,332.16	$1,695.71	$2,548.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $1,884.00 / $3,015.07	Professional		$1,566.00	$1,884.00	$3,015.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,280.73 / $1,638.84 / $2,837.98	Facility		$1,280.73	$1,638.84	$2,837.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,280.73 / $1,638.84 / $2,837.98	Professional		$1,280.73	$1,638.84	$2,837.98
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 $991.24 / $1,495.63 / $2,590.85	Professional		$991.24	$1,495.63	$2,590.85