Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,801.89 / $7,762.47	Facility		$1,513.56	$3,801.89	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,398.83	Professional		$1,202.26	$1,621.81	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $7,943.28	Facility		$1,995.26	$1,995.26	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,412.54	Professional		$794.33	$794.33	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $7,585.78 / $11,220.18	Professional		$1,819.70	$7,585.78	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $9,120.11	Facility		$1,288.25	$3,890.45	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,951.21	Professional		$977.24	$1,230.27	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,818.38	Professional		$1,995.26	$2,187.76	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $3,388.44	Facility		$1,584.89	$1,698.24	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $4,168.69	Professional		$1,288.25	$1,621.81	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $10,000.00	Facility		$1,412.54	$2,398.83	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $10,000.00	Professional		$1,412.54	$2,398.83	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $2,398.83	Facility		$1,202.26	$1,995.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,290.87	Professional		$831.76	$1,000.00	$2,290.87