Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.52 / $5,048.00 / $14,796.00	Facility		$1,472.52	$5,048.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.96 / $1,390.87 / $1,711.08	Professional		$1,140.96	$1,390.87	$1,711.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,221.32 / $1,580.25 / $2,612.62	Professional		$1,221.32	$1,580.25	$2,612.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,478.93 / $1,478.93 / $2,795.18	Professional		$1,478.93	$1,478.93	$2,795.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,504.93	Facility		$640.00	$640.00	$1,504.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.56 / $1,585.43 / $2,942.30	Professional		$1,231.56	$1,585.43	$2,942.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,254.80 / $1,623.85 / $1,919.10	Professional		$1,254.80	$1,623.85	$1,919.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,340.94 / $1,663.95 / $2,516.50	Facility		$1,340.94	$1,663.95	$2,516.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,446.00 / $1,778.00 / $2,417.00	Professional		$1,446.00	$1,778.00	$2,417.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,231.93 / $1,610.00 / $3,091.11	Facility		$1,231.93	$1,610.00	$3,091.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,231.93 / $1,610.00 / $3,091.11	Professional		$1,231.93	$1,610.00	$3,091.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.10 / $1,526.18 / $2,521.88	Professional		$958.10	$1,526.18	$2,521.88