Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.48 / $4,796.00 / $9,539.00	Facility		$1,667.48	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.90 / $1,667.48 / $2,045.73	Professional		$1,405.90	$1,667.48	$2,045.73
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 $1,344.95 / $1,740.20 / $2,475.10	Professional		$1,344.95	$1,740.20	$2,475.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,642.74 / $1,643.20 / $3,203.34	Professional		$1,642.74	$1,643.20	$3,203.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,679.11	Facility		$490.00	$610.00	$1,679.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.29 / $1,800.83 / $3,211.56	Professional		$1,267.29	$1,800.83	$3,211.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,363.83 / $1,684.74 / $2,406.77	Professional		$1,363.83	$1,684.74	$2,406.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,478.72 / $1,892.88 / $2,818.04	Facility		$1,478.72	$1,892.88	$2,818.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,739.00 / $2,063.00 / $3,401.76	Professional		$1,739.00	$2,063.00	$3,401.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,416.59 / $1,790.21 / $3,275.29	Facility		$1,416.59	$1,790.21	$3,275.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,416.59 / $1,790.21 / $3,275.29	Professional		$1,416.59	$1,790.21	$3,275.29
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 $1,146.61 / $1,699.05 / $2,762.88	Professional		$1,146.61	$1,699.05	$2,762.88