Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.40 / $4,796.00 / $9,539.00	Facility		$1,732.40	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.85 / $1,732.40 / $2,118.30	Professional		$1,366.85	$1,732.40	$2,118.30
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 $1,385.67 / $1,805.54 / $2,521.21	Professional		$1,385.67	$1,805.54	$2,521.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,638.73 / $1,715.21 / $3,195.52	Professional		$1,638.73	$1,715.21	$3,195.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,742.32	Facility		$490.00	$610.00	$1,742.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.40 / $1,822.41 / $3,249.23	Professional		$1,249.40	$1,822.41	$3,249.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,424.95 / $1,760.23 / $2,423.21	Professional		$1,424.95	$1,760.23	$2,423.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $1,925.69 / $2,861.48	Facility		$1,521.00	$1,925.69	$2,861.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,745.00 / $2,092.16 / $3,407.00	Professional		$1,745.00	$2,092.16	$3,407.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,385.65 / $1,789.54 / $3,416.55	Facility		$1,385.65	$1,789.54	$3,416.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,385.65 / $1,789.54 / $3,416.55	Professional		$1,385.65	$1,789.54	$3,416.55
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 $1,147.61 / $1,732.40 / $3,055.33	Professional		$1,147.61	$1,732.40	$3,055.33