Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.73 / $4,771.00 / $9,539.00	Facility		$1,332.73	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.64 / $1,332.73 / $1,632.76	Professional		$1,124.64	$1,332.73	$1,632.76
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 $1,076.10 / $1,390.93 / $1,969.96	Professional		$1,076.10	$1,390.93	$1,969.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,311.97 / $1,317.30 / $2,558.34	Professional		$1,311.97	$1,317.30	$2,558.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,343.08	Facility		$490.00	$610.00	$1,343.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.43 / $1,418.42 / $2,563.39	Professional		$968.43	$1,418.42	$2,563.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.63 / $1,352.19 / $1,931.70	Professional		$1,094.63	$1,352.19	$1,931.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,138.00 / $1,505.98 / $2,252.31	Facility		$1,138.00	$1,505.98	$2,252.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,648.00 / $2,725.20	Professional		$1,344.00	$1,648.00	$2,725.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,102.54 / $1,428.07 / $2,614.48	Facility		$1,102.54	$1,428.07	$2,614.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,102.54 / $1,428.07 / $2,614.48	Professional		$1,102.54	$1,428.07	$2,614.48
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 $913.47 / $1,314.00 / $2,204.07	Professional		$913.47	$1,314.00	$2,204.07