Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.67 / $4,771.00 / $9,539.00	Facility		$1,231.67	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.58 / $1,231.67 / $1,545.34	Professional		$999.58	$1,231.67	$1,545.34
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 $1,006.31 / $1,298.08 / $1,848.73	Professional		$1,006.31	$1,298.08	$1,848.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,217.38 / $1,225.30 / $2,373.89	Professional		$1,217.38	$1,225.30	$2,373.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,252.98	Facility		$490.00	$610.00	$1,252.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.24 / $1,336.02 / $2,391.48	Professional		$945.24	$1,336.02	$2,391.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.34 / $1,256.71 / $1,795.31	Professional		$1,017.34	$1,256.71	$1,795.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,126.00 / $1,409.68 / $2,081.52	Facility		$1,126.00	$1,409.68	$2,081.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,265.00 / $1,531.78 / $2,537.40	Professional		$1,265.00	$1,531.78	$2,537.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,065.67 / $1,329.31 / $2,439.23	Facility		$1,065.67	$1,329.31	$2,439.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,065.67 / $1,329.31 / $2,439.23	Professional		$1,065.67	$1,329.31	$2,439.23
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,974.00 / $5,445.00	Facility		$425.00	$2,974.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.19 / $1,252.14 / $2,182.92	Professional		$845.19	$1,252.14	$2,182.92