Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.28 / $4,771.00 / $9,539.00	Facility		$1,267.28	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.19 / $1,267.28 / $1,570.91	Professional		$1,086.19	$1,267.28	$1,570.91
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 $1,055.85 / $1,375.80 / $1,925.40	Professional		$1,055.85	$1,375.80	$1,925.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,238.88 / $1,309.03 / $2,415.82	Professional		$1,238.88	$1,309.03	$2,415.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,325.30	Facility		$490.00	$610.00	$1,325.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.65 / $1,363.83 / $2,501.34	Professional		$943.65	$1,363.83	$2,501.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.77 / $1,346.18 / $1,840.17	Professional		$1,089.77	$1,346.18	$1,840.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,113.00 / $1,436.41 / $2,141.69	Facility		$1,113.00	$1,436.41	$2,141.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,285.00 / $1,579.76 / $2,702.18	Professional		$1,285.00	$1,579.76	$2,702.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,061.66 / $1,372.31 / $2,495.78	Facility		$1,061.66	$1,372.31	$2,495.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,061.66 / $1,372.31 / $2,495.78	Professional		$1,061.66	$1,372.31	$2,495.78
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 $869.47 / $1,280.82 / $2,101.71	Professional		$869.47	$1,280.82	$2,101.71