Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.41 / $4,771.00 / $9,539.00	Facility		$1,303.41	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.55 / $1,303.41 / $1,602.61	Professional		$1,104.55	$1,303.41	$1,602.61
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 $1,054.86 / $1,364.89 / $1,929.40	Professional		$1,054.86	$1,364.89	$1,929.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,287.28 / $1,291.86 / $2,510.19	Professional		$1,287.28	$1,291.86	$2,510.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,313.52	Facility		$490.00	$610.00	$1,313.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.03 / $1,402.62 / $2,516.96	Professional		$986.03	$1,402.62	$2,516.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.65 / $1,325.04 / $1,892.91	Professional		$1,072.65	$1,325.04	$1,892.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,159.08 / $1,467.08 / $2,202.76	Facility		$1,159.08	$1,467.08	$2,202.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,324.00 / $1,617.00 / $2,670.58	Professional		$1,324.00	$1,617.00	$2,670.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,097.57 / $1,398.43 / $2,567.21	Facility		$1,097.57	$1,398.43	$2,567.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,097.57 / $1,398.43 / $2,567.21	Professional		$1,097.57	$1,398.43	$2,567.21
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 $893.23 / $1,306.02 / $2,161.34	Professional		$893.23	$1,306.02	$2,161.34