Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.81 / $4,771.00 / $9,539.00	Facility		$1,549.81	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.10 / $1,549.81 / $1,882.42	Professional		$1,318.10	$1,549.81	$1,882.42
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 $1,257.47 / $1,627.02 / $2,299.94	Professional		$1,257.47	$1,627.02	$2,299.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,512.87 / $1,537.25 / $2,950.10	Professional		$1,512.87	$1,537.25	$2,950.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,568.87	Facility		$490.00	$610.00	$1,568.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.81 / $1,670.03 / $2,942.46	Professional		$1,173.81	$1,670.03	$2,942.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.30 / $1,576.61 / $2,246.59	Professional		$1,276.30	$1,576.61	$2,246.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,357.03 / $1,747.56 / $2,619.17	Facility		$1,357.03	$1,747.56	$2,619.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,632.00 / $1,926.00 / $3,181.22	Professional		$1,632.00	$1,926.00	$3,181.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,322.20 / $1,665.37 / $3,005.88	Facility		$1,322.20	$1,665.37	$3,005.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,322.20 / $1,665.37 / $3,005.88	Professional		$1,322.20	$1,665.37	$3,005.88
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 $1,059.85 / $1,579.20 / $2,658.14	Professional		$1,059.85	$1,579.20	$2,658.14