Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.54 / $4,771.00 / $9,539.00	Facility		$1,440.54	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.31 / $1,440.54 / $1,766.58	Professional		$1,227.31	$1,440.54	$1,766.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,180.32 / $1,522.92 / $2,158.84	Professional		$1,180.32	$1,522.92	$2,158.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,428.95 / $1,450.43 / $2,786.45	Professional		$1,428.95	$1,450.43	$2,786.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,464.18	Facility		$490.00	$610.00	$1,464.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.05 / $1,532.52 / $2,775.53	Professional		$1,044.05	$1,532.52	$2,775.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,209.18 / $1,493.69 / $2,106.71	Professional		$1,209.18	$1,493.69	$2,106.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,224.46 / $1,618.81 / $2,434.51	Facility		$1,224.46	$1,618.81	$2,434.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,463.00 / $1,784.00 / $2,387.00	Professional		$1,463.00	$1,784.00	$2,387.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,159.83 / $1,528.43 / $2,756.86	Facility		$1,159.83	$1,528.43	$2,756.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,159.83 / $1,528.43 / $2,756.86	Professional		$1,159.83	$1,528.43	$2,756.86
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 $962.61 / $1,397.91 / $2,478.71	Professional		$962.61	$1,397.91	$2,478.71