Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.76 / $4,771.00 / $9,539.00	Facility		$1,302.76	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.46 / $1,302.76 / $1,595.43	Professional		$1,090.46	$1,302.76	$1,595.43
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 $1,049.71 / $1,358.21 / $1,919.96	Professional		$1,049.71	$1,358.21	$1,919.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,285.97 / $1,286.18 / $2,508.05	Professional		$1,285.97	$1,286.18	$2,508.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,306.61	Facility		$490.00	$610.00	$1,306.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.23 / $1,379.43 / $2,505.10	Professional		$976.23	$1,379.43	$2,505.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,067.43 / $1,318.59 / $1,883.70	Professional		$1,067.43	$1,318.59	$1,883.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,114.14 / $1,457.31 / $2,201.66	Facility		$1,114.14	$1,457.31	$2,201.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,317.00 / $1,610.00 / $2,657.69	Professional		$1,317.00	$1,610.00	$2,657.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,089.42 / $1,391.74 / $2,555.50	Facility		$1,089.42	$1,391.74	$2,555.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,089.42 / $1,391.74 / $2,555.50	Professional		$1,089.42	$1,391.74	$2,555.50
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 $883.85 / $1,299.97 / $2,236.59	Professional		$883.85	$1,299.97	$2,236.59