Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $7,630.09 / $14,729.00	Facility		$1,085.11	$7,630.09	$14,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,627.67	Professional		$1,085.10	$1,085.11	$1,627.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.61 / $863.50 / $1,220.64	Professional		$685.61	$863.50	$1,220.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,517.00 / $7,889.00 / $9,638.00	Professional		$5,517.00	$7,889.00	$9,638.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $526.00 / $925.00	Facility		$490.00	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,562.26 / $3,562.26 / $3,562.26	Professional		$3,562.26	$3,562.26	$3,562.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Professional		$525.00	$525.00	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,150.23 / $1,985.77	Facility		$1,085.11	$1,150.23	$1,985.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $906.68 / $906.68 / $906.68	Professional		$906.68	$906.68	$906.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $9,040.00 / $15,265.00	Facility		$3,400.00	$9,040.00	$15,265.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $9,040.00 / $15,265.00	Professional		$3,400.00	$9,040.00	$15,265.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,898.00 / $21,538.00	Facility		$1,745.00	$10,898.00	$21,538.00