Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.04 / $5,980.00 / $14,867.45	Facility		$1,544.04	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.66 / $1,544.04 / $1,905.05	Professional		$1,314.66	$1,544.04	$1,905.05
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 $1,264.70 / $1,620.34 / $2,290.51	Professional		$1,264.70	$1,620.34	$2,290.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,518.55 / $1,527.53 / $2,961.17	Professional		$1,518.55	$1,527.53	$2,961.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,566.26	Facility		$490.00	$610.00	$1,566.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.25 / $1,675.98 / $2,988.76	Professional		$1,180.25	$1,675.98	$2,988.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,267.64 / $1,565.91 / $2,238.69	Professional		$1,267.64	$1,565.91	$2,238.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,414.48 / $1,764.26 / $2,609.42	Facility		$1,414.48	$1,764.26	$2,609.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,658.00 / $1,920.00 / $3,165.48	Professional		$1,658.00	$1,920.00	$3,165.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,327.29 / $1,672.69 / $3,048.31	Facility		$1,327.29	$1,672.69	$3,048.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,327.29 / $1,672.69 / $3,048.31	Professional		$1,327.29	$1,672.69	$3,048.31
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 $1,056.08 / $1,570.27 / $2,576.67	Professional		$1,056.08	$1,570.27	$2,576.67