Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.48 / $5,048.00 / $9,539.00	Facility		$1,326.48	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.65 / $1,250.71 / $1,553.43	Professional		$815.65	$1,250.71	$1,553.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.64 / $1,434.45 / $2,371.57	Professional		$1,108.64	$1,434.45	$2,371.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,289.00 / $2,436.21	Professional		$897.00	$1,289.00	$2,436.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,366.34	Facility		$640.00	$640.00	$1,366.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.23 / $1,284.45 / $2,671.70	Professional		$968.23	$1,284.45	$2,671.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.08 / $1,474.11 / $1,742.13	Professional		$1,139.08	$1,474.11	$1,742.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,070.90 / $1,445.86 / $2,197.57	Facility		$1,070.90	$1,445.86	$2,197.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,119.00 / $1,271.00 / $2,194.00	Professional		$1,119.00	$1,271.00	$2,194.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,015.77 / $1,385.08 / $2,806.76	Facility		$1,015.77	$1,385.08	$2,806.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,015.77 / $1,385.08 / $2,806.76	Professional		$1,015.77	$1,385.08	$2,806.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,175.00 / $5,340.00	Facility		$1,713.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.40 / $1,317.06 / $2,337.57	Professional		$785.40	$1,317.06	$2,337.57