Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.77 / $3,645.00 / $8,294.00	Facility		$1,285.77	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.20 / $1,237.38 / $1,542.33	Professional		$1,041.20	$1,237.38	$1,542.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.63 / $1,294.71 / $1,811.92	Professional		$993.63	$1,294.71	$1,811.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,050.43 / $1,169.53 / $2,275.92	Professional		$1,050.43	$1,169.53	$2,275.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,246.93 / $1,572.88	Facility		$425.00	$1,246.93	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.92 / $1,322.94 / $2,371.90	Professional		$892.92	$1,322.94	$2,371.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.90 / $1,260.98 / $1,805.43	Professional		$962.90	$1,260.98	$1,805.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,051.77 / $1,378.95 / $2,027.32	Facility		$1,051.77	$1,378.95	$2,027.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $1,548.00 / $2,580.05	Professional		$1,262.00	$1,548.00	$2,580.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,040.34 / $1,337.13 / $2,558.21	Facility		$1,040.34	$1,337.13	$2,558.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,040.34 / $1,337.13 / $2,558.21	Professional		$1,040.34	$1,337.13	$2,558.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.58 / $1,205.56 / $2,094.67	Professional		$837.58	$1,205.56	$2,094.67