Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.03 / $4,796.00 / $9,539.00	Facility		$1,659.03	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.91 / $1,659.03 / $2,037.63	Professional		$1,379.91	$1,659.03	$2,037.63
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 $1,323.13 / $1,724.05 / $2,413.98	Professional		$1,323.13	$1,724.05	$2,413.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,630.96 / $1,636.66 / $3,180.37	Professional		$1,630.96	$1,636.66	$3,180.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,664.96	Facility		$490.00	$610.00	$1,664.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.69 / $1,758.36 / $3,199.73	Professional		$1,234.69	$1,758.36	$3,199.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,359.42 / $1,679.29 / $2,398.98	Professional		$1,359.42	$1,679.29	$2,398.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $1,882.82 / $2,803.76	Facility		$1,494.00	$1,882.82	$2,803.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $2,050.00 / $3,383.28	Professional		$1,696.00	$2,050.00	$3,383.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,386.81 / $1,769.03 / $3,263.83	Facility		$1,386.81	$1,769.03	$3,263.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,386.81 / $1,769.03 / $3,263.83	Professional		$1,386.81	$1,769.03	$3,263.83
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 $1,139.52 / $1,672.59 / $2,744.90	Professional		$1,139.52	$1,672.59	$2,744.90