Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.84 / $4,771.00 / $9,539.00	Facility		$1,533.84	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.82 / $1,533.84 / $1,877.75	Professional		$1,291.82	$1,533.84	$1,877.75
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 $1,235.59 / $1,598.72 / $2,259.94	Professional		$1,235.59	$1,598.72	$2,259.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,509.09 / $1,510.78 / $2,942.73	Professional		$1,509.09	$1,510.78	$2,942.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,541.29	Facility		$490.00	$610.00	$1,541.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.94 / $1,644.09 / $2,947.98	Professional		$1,162.94	$1,644.09	$2,947.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,254.11 / $1,549.21 / $2,213.16	Professional		$1,254.11	$1,549.21	$2,213.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,355.06 / $1,717.90 / $2,592.19	Facility		$1,355.06	$1,717.90	$2,592.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,569.00 / $1,897.00 / $3,125.81	Professional		$1,569.00	$1,897.00	$3,125.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,281.04 / $1,643.11 / $3,006.73	Facility		$1,281.04	$1,643.11	$3,006.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,281.04 / $1,643.11 / $3,006.73	Professional		$1,281.04	$1,643.11	$3,006.73
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 $1,023.55 / $1,547.46 / $2,675.28	Professional		$1,023.55	$1,547.46	$2,675.28