Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.02 / $4,771.00 / $9,539.00	Facility		$1,251.02	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.03 / $1,251.02 / $1,650.12	Professional		$1,060.03	$1,251.02	$1,650.12
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 $1,016.00 / $1,314.59 / $1,858.30	Professional		$1,016.00	$1,314.59	$1,858.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,221.60 / $1,240.75 / $2,382.14	Professional		$1,221.60	$1,240.75	$2,382.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,269.05	Facility		$490.00	$610.00	$1,269.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.52 / $1,350.81 / $2,397.08	Professional		$945.52	$1,350.81	$2,397.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,030.42 / $1,272.86 / $1,811.62	Professional		$1,030.42	$1,272.86	$1,811.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,131.21 / $1,421.61 / $2,114.21	Facility		$1,131.21	$1,421.61	$2,114.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.00 / $1,551.00 / $2,569.67	Professional		$1,288.00	$1,551.00	$2,569.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,076.60 / $1,345.95 / $2,447.17	Facility		$1,076.60	$1,345.95	$2,447.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,076.60 / $1,345.95 / $2,447.17	Professional		$1,076.60	$1,345.95	$2,447.17
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 $858.56 / $1,270.59 / $2,178.88	Professional		$858.56	$1,270.59	$2,178.88