Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.70 / $4,771.00 / $9,539.00	Facility		$1,499.70	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.00 / $1,499.70 / $2,247.17	Professional		$1,219.00	$1,499.70	$2,247.17
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 $1,201.36 / $1,565.40 / $2,191.84	Professional		$1,201.36	$1,565.40	$2,191.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,482.60 / $1,484.29 / $2,891.07	Professional		$1,482.60	$1,484.29	$2,891.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,513.73	Facility		$490.00	$610.00	$1,513.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.40 / $1,613.25 / $2,894.22	Professional		$1,115.40	$1,613.25	$2,894.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,232.24 / $1,522.17 / $2,174.54	Professional		$1,232.24	$1,522.17	$2,174.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,329.28 / $1,706.04 / $2,534.48	Facility		$1,329.28	$1,706.04	$2,534.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,544.00 / $1,861.00 / $3,070.78	Professional		$1,544.00	$1,861.00	$3,070.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,258.51 / $1,613.72 / $2,952.40	Facility		$1,258.51	$1,613.72	$2,952.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,258.51 / $1,613.72 / $2,952.40	Professional		$1,258.51	$1,613.72	$2,952.40
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 $1,035.10 / $1,518.17 / $2,491.17	Professional		$1,035.10	$1,518.17	$2,491.17