Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.90 / $5,412.00 / $11,425.00	Facility		$1,656.90	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,325.62 / $1,656.90 / $2,039.67	Professional		$1,325.62	$1,656.90	$2,039.67
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 $1,349.50 / $1,742.78 / $2,468.28	Professional		$1,349.50	$1,742.78	$2,468.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,642.67 / $1,646.01 / $3,203.21	Professional		$1,642.67	$1,646.01	$3,203.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,687.91	Facility		$490.00	$610.00	$1,687.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.05 / $1,799.56 / $3,153.86	Professional		$1,282.05	$1,799.56	$3,153.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.43 / $1,690.42 / $2,423.91	Professional		$1,368.43	$1,690.42	$2,423.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,488.64 / $1,896.77 / $2,757.34	Facility		$1,488.64	$1,896.77	$2,757.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,739.00 / $2,033.00 / $3,307.00	Professional		$1,739.00	$2,033.00	$3,307.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,427.63 / $1,772.84 / $3,275.10	Facility		$1,427.63	$1,772.84	$3,275.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,427.63 / $1,772.84 / $3,275.10	Professional		$1,427.63	$1,772.84	$3,275.10
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 $1,145.19 / $1,691.53 / $2,863.94	Professional		$1,145.19	$1,691.53	$2,863.94