Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.84 / $4,771.00 / $9,539.00	Facility		$1,547.84	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.39 / $1,547.84 / $1,894.83	Professional		$1,272.39	$1,547.84	$1,894.83
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 $1,245.93 / $1,612.09 / $2,278.85	Professional		$1,245.93	$1,612.09	$2,278.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,521.60 / $1,522.78 / $2,967.12	Professional		$1,521.60	$1,522.78	$2,967.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,554.88	Facility		$490.00	$610.00	$1,554.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.95 / $1,659.60 / $2,975.14	Professional		$1,172.95	$1,659.60	$2,975.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.06 / $1,560.25 / $2,228.92	Professional		$1,263.06	$1,560.25	$2,228.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,402.75 / $1,752.66 / $2,634.11	Facility		$1,402.75	$1,752.66	$2,634.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $1,893.55 / $3,151.73	Professional		$1,624.00	$1,893.55	$3,151.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,301.49 / $1,657.99 / $3,034.11	Facility		$1,301.49	$1,657.99	$3,034.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,301.49 / $1,657.99 / $3,034.11	Professional		$1,301.49	$1,657.99	$3,034.11
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 $1,060.22 / $1,580.85 / $2,666.20	Professional		$1,060.22	$1,580.85	$2,666.20