Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.68 / $4,932.60 / $9,539.00	Facility		$1,282.68	$4,932.60	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.58 / $1,282.68 / $1,567.90	Professional		$1,078.58	$1,282.68	$1,567.90
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 $1,053.49 / $1,340.13 / $1,904.45	Professional		$1,053.49	$1,340.13	$1,904.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,256.20 / $1,263.76 / $2,524.96	Professional		$1,256.20	$1,263.76	$2,524.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,294.96	Facility		$490.00	$610.00	$1,294.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.93 / $1,427.53 / $2,527.53	Professional		$1,023.93	$1,427.53	$2,527.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.06 / $1,298.36 / $1,854.81	Professional		$1,051.06	$1,298.36	$1,854.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,133.84 / $1,463.92 / $2,184.01	Facility		$1,133.84	$1,463.92	$2,184.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.25 / $1,589.00 / $2,618.71	Professional		$1,412.25	$1,589.00	$2,618.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,129.38 / $1,406.17 / $2,508.35	Facility		$1,129.38	$1,406.17	$2,508.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,129.38 / $1,406.17 / $2,508.35	Professional		$1,129.38	$1,406.17	$2,508.35
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 $881.48 / $1,334.39 / $2,127.13	Professional		$881.48	$1,334.39	$2,127.13