Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $4,771.00 / $9,539.00	Facility		$1,423.00	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,423.00 / $1,763.46	Professional		$1,097.71	$1,423.00	$1,763.46
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 $1,146.96 / $1,494.50 / $2,091.52	Professional		$1,146.96	$1,494.50	$2,091.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,325.32 / $1,418.30 / $2,584.37	Professional		$1,325.32	$1,418.30	$2,584.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,443.76	Facility		$490.00	$610.00	$1,443.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.96 / $1,507.79 / $2,761.33	Professional		$1,050.96	$1,507.79	$2,761.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.35 / $1,458.09 / $2,005.65	Professional		$1,180.35	$1,458.09	$2,005.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,256.00 / $1,607.99 / $2,404.87	Facility		$1,256.00	$1,607.99	$2,404.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,416.00 / $1,735.00 / $2,932.75	Professional		$1,416.00	$1,735.00	$2,932.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,190.58 / $1,508.56 / $2,816.65	Facility		$1,190.58	$1,508.56	$2,816.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,190.58 / $1,508.56 / $2,816.65	Professional		$1,190.58	$1,508.56	$2,816.65
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 $960.03 / $1,396.40 / $2,369.03	Professional		$960.03	$1,396.40	$2,369.03