Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.09 / $5,412.00 / $13,209.00	Facility		$1,430.09	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.40 / $1,430.09 / $1,764.37	Professional		$1,214.40	$1,430.09	$1,764.37
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 $1,164.44 / $1,501.26 / $2,138.10	Professional		$1,164.44	$1,501.26	$2,138.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,406.67 / $1,416.05 / $2,743.01	Professional		$1,406.67	$1,416.05	$2,743.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,450.27	Facility		$490.00	$610.00	$1,450.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.33 / $1,560.45 / $2,768.54	Professional		$1,093.33	$1,560.45	$2,768.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.23 / $1,451.75 / $2,073.92	Professional		$1,175.23	$1,451.75	$2,073.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,310.06 / $1,633.05 / $2,486.82	Facility		$1,310.06	$1,633.05	$2,486.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,515.00 / $1,776.00 / $2,933.57	Professional		$1,515.00	$1,776.00	$2,933.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,247.38 / $1,540.88 / $2,823.67	Facility		$1,247.38	$1,540.88	$2,823.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,247.38 / $1,540.88 / $2,823.67	Professional		$1,247.38	$1,540.88	$2,823.67
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 $987.83 / $1,450.02 / $2,470.41	Professional		$987.83	$1,450.02	$2,470.41