Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.61 / $5,048.00 / $9,539.00	Facility		$2,123.61	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,785.17 / $2,123.61 / $2,808.34	Professional		$1,785.17	$2,123.61	$2,808.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,686.61 / $2,197.67 / $3,077.14	Professional		$1,686.61	$2,197.67	$3,077.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,061.98 / $2,078.83 / $4,020.86	Professional		$2,061.98	$2,078.83	$4,020.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,130.71	Facility		$490.00	$610.00	$2,130.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.57 / $2,258.80 / $4,073.65	Professional		$1,526.57	$2,258.80	$4,073.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,725.29 / $2,131.23 / $3,044.63	Professional		$1,725.29	$2,131.23	$3,044.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,845.60 / $2,386.12 / $3,478.79	Facility		$1,845.60	$2,386.12	$3,478.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,179.00 / $2,617.00 / $4,307.68	Professional		$2,179.00	$2,617.00	$4,307.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,747.30 / $2,260.48 / $4,104.28	Facility		$1,747.30	$2,260.48	$4,104.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,747.30 / $2,260.48 / $4,104.28	Professional		$1,747.30	$2,260.48	$4,104.28
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 $1,453.28 / $2,121.04 / $3,512.37	Professional		$1,453.28	$2,121.04	$3,512.37