Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.25 / $4,771.00 / $9,539.00	Facility		$1,476.25	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.88 / $1,476.25 / $1,810.69	Professional		$1,241.88	$1,476.25	$1,810.69
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 $1,206.76 / $1,540.56 / $2,189.28	Professional		$1,206.76	$1,540.56	$2,189.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,452.30 / $1,454.77 / $2,836.80	Professional		$1,452.30	$1,454.77	$2,836.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,489.16	Facility		$490.00	$610.00	$1,489.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.91 / $1,602.26 / $2,841.93	Professional		$1,121.91	$1,602.26	$2,841.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.46 / $1,490.34 / $2,144.42	Professional		$1,206.46	$1,490.34	$2,144.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,339.55 / $1,686.15 / $2,494.86	Facility		$1,339.55	$1,686.15	$2,494.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,580.00 / $1,838.00 / $3,009.77	Professional		$1,580.00	$1,838.00	$3,009.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,286.88 / $1,589.68 / $2,897.96	Facility		$1,286.88	$1,589.68	$2,897.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,286.88 / $1,589.68 / $2,897.96	Professional		$1,286.88	$1,589.68	$2,897.96
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 $1,013.77 / $1,507.20 / $2,450.90	Professional		$1,013.77	$1,507.20	$2,450.90