Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.14 / $3,912.00 / $8,920.00	Facility		$1,005.14	$3,912.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.97 / $1,005.14 / $1,455.14	Professional		$903.97	$1,005.14	$1,455.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.59 / $1,323.75 / $1,870.72	Professional		$1,030.59	$1,323.75	$1,870.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $1,340.66 / $2,413.00	Professional		$1,206.58	$1,340.66	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.81 / $1,282.81 / $1,282.81	Facility		$1,282.81	$1,282.81	$1,282.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.68 / $1,313.94 / $2,185.12	Professional		$991.68	$1,313.94	$2,185.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.17 / $1,247.26 / $1,612.12	Professional		$1,060.17	$1,247.26	$1,612.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,060.32 / $1,359.90 / $2,102.30	Facility		$1,060.32	$1,359.90	$2,102.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,442.00 / $1,589.00 / $2,694.84	Professional		$1,442.00	$1,589.00	$2,694.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,028.61 / $1,356.70 / $3,150.00	Facility		$1,028.61	$1,356.70	$3,150.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,028.61 / $1,356.70 / $3,150.00	Professional		$1,028.61	$1,356.70	$3,150.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $1,820.00 / $3,880.00	Facility		$1,101.00	$1,820.00	$3,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.91 / $1,082.58 / $1,968.31	Professional		$825.91	$1,082.58	$1,968.31