Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.19 / $5,087.00 / $8,920.00	Facility		$1,252.19	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.13 / $1,252.19 / $1,540.69	Professional		$1,009.13	$1,252.19	$1,540.69
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 $1,021.27 / $1,311.83 / $1,864.24	Professional		$1,021.27	$1,311.83	$1,864.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,222.08 / $1,243.94 / $2,383.06	Professional		$1,222.08	$1,243.94	$2,383.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,259.90	Facility		$490.00	$610.00	$1,259.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.21 / $1,339.03 / $2,420.79	Professional		$942.21	$1,339.03	$2,420.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.67 / $1,279.34 / $1,811.72	Professional		$1,035.67	$1,279.34	$1,811.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,141.80 / $1,433.34 / $2,066.11	Facility		$1,141.80	$1,433.34	$2,066.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,287.95 / $1,551.00 / $2,568.21	Professional		$1,287.95	$1,551.00	$2,568.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,052.49 / $1,340.41 / $2,469.25	Facility		$1,052.49	$1,340.41	$2,469.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,052.49 / $1,340.41 / $2,469.25	Professional		$1,052.49	$1,340.41	$2,469.25
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 $861.47 / $1,263.49 / $2,176.29	Professional		$861.47	$1,263.49	$2,176.29