Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.47 / $4,796.00 / $9,539.00	Facility		$1,845.47	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.06 / $1,845.47 / $2,258.33	Professional		$1,560.06	$1,845.47	$2,258.33
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 $1,504.36 / $1,923.74 / $2,733.82	Professional		$1,504.36	$1,923.74	$2,733.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,812.64 / $1,813.55 / $3,534.65	Professional		$1,812.64	$1,813.55	$3,534.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,859.53	Facility		$490.00	$610.00	$1,859.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.73 / $1,993.32 / $3,543.20	Professional		$1,399.73	$1,993.32	$3,543.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,505.86 / $1,860.18 / $2,657.40	Professional		$1,505.86	$1,860.18	$2,657.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,661.10 / $2,091.40 / $3,118.84	Facility		$1,661.10	$2,091.40	$3,118.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,924.00 / $2,276.00 / $3,758.28	Professional		$1,924.00	$2,276.00	$3,758.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,603.47 / $1,980.76 / $3,613.63	Facility		$1,603.47	$1,980.76	$3,613.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,603.47 / $1,980.76 / $3,613.63	Professional		$1,603.47	$1,980.76	$3,613.63
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.19 / $1,845.81 / $3,056.59	Professional		$1,264.19	$1,845.81	$3,056.59