Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.14 / $4,771.00 / $9,539.00	Facility		$1,317.14	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.94 / $1,317.14 / $1,614.73	Professional		$1,112.94	$1,317.14	$1,614.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,168.00 / $4,733.93 / $6,626.56	Facility		$3,168.00	$4,733.93	$6,626.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.95 / $1,370.70 / $1,918.27	Professional		$1,051.95	$1,370.70	$1,918.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,297.35 / $1,301.44 / $2,529.85	Professional		$1,297.35	$1,301.44	$2,529.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,323.47	Facility		$490.00	$610.00	$1,323.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.16 / $1,390.80 / $2,536.00	Professional		$934.16	$1,390.80	$2,536.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.83 / $1,336.38 / $1,909.11	Professional		$1,081.83	$1,336.38	$1,909.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,116.00 / $1,450.46 / $2,151.73	Facility		$1,116.00	$1,450.46	$2,151.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,329.00 / $1,634.00 / $2,690.52	Professional		$1,329.00	$1,634.00	$2,690.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,062.94 / $1,395.10 / $2,586.60	Facility		$1,062.94	$1,395.10	$2,586.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,062.94 / $1,395.10 / $2,586.60	Professional		$1,062.94	$1,395.10	$2,586.60
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.42 / $1,273.54 / $2,178.00	Professional		$888.42	$1,273.54	$2,178.00