Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.63 / $4,771.00 / $9,539.00	Facility		$1,193.63	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.59 / $1,193.63 / $1,468.75	Professional		$1,011.59	$1,193.63	$1,468.75
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 $979.75 / $1,252.88 / $1,771.07	Professional		$979.75	$1,252.88	$1,771.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,194.70 / $1,327.44 / $2,588.51	Professional		$1,194.70	$1,327.44	$2,588.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,204.00	Facility		$490.00	$610.00	$1,204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.43 / $1,291.58 / $2,306.83	Professional		$922.43	$1,291.58	$2,306.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.07 / $1,216.84 / $1,738.35	Professional		$985.07	$1,216.84	$1,738.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,084.92 / $1,360.15 / $2,017.23	Facility		$1,084.92	$1,360.15	$2,017.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,274.44 / $1,480.29 / $2,452.13	Professional		$1,274.44	$1,480.29	$2,452.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,045.43 / $1,283.73 / $2,353.23	Facility		$1,045.43	$1,283.73	$2,353.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,045.43 / $1,283.73 / $2,353.23	Professional		$1,045.43	$1,283.73	$2,353.23
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 $824.56 / $1,223.10 / $2,078.92	Professional		$824.56	$1,223.10	$2,078.92