Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.47 / $4,771.00 / $9,539.00	Facility		$1,239.47	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.64 / $1,239.47 / $1,522.67	Professional		$1,049.64	$1,239.47	$1,522.67
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 $1,000.85 / $1,296.10 / $1,832.18	Professional		$1,000.85	$1,296.10	$1,832.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,205.71 / $1,227.83 / $2,351.13	Professional		$1,205.71	$1,227.83	$2,351.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,246.15	Facility		$490.00	$610.00	$1,246.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.72 / $1,315.19 / $2,391.92	Professional		$899.72	$1,315.19	$2,391.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,019.74 / $1,259.67 / $1,787.63	Professional		$1,019.74	$1,259.67	$1,787.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $1,406.73 / $2,108.28	Facility		$1,068.00	$1,406.73	$2,108.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,238.00 / $1,532.00 / $2,536.66	Professional		$1,238.00	$1,532.00	$2,536.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,030.92 / $1,324.31 / $2,439.76	Facility		$1,030.92	$1,324.31	$2,439.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,030.92 / $1,324.31 / $2,439.76	Professional		$1,030.92	$1,324.31	$2,439.76
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 $834.89 / $1,208.38 / $2,052.59	Professional		$834.89	$1,208.38	$2,052.59