Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.25 / $3,084.25 / $5,005.00	Facility		$1,381.25	$3,084.25	$5,005.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.75 / $1,300.00 / $1,381.25	Professional		$1,218.75	$1,300.00	$1,381.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $7,913.75	Facility		$1,625.00	$1,625.00	$7,913.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $1,020.82	Professional		$650.00	$650.00	$1,020.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,462.50 / $2,851.88	Professional		$1,300.00	$1,462.50	$2,851.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,068.05 / $3,036.43 / $8,325.18	Facility		$1,068.05	$3,036.43	$8,325.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.05 / $986.31 / $2,681.97	Professional		$778.05	$986.31	$2,681.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,950.00 / $2,405.00	Professional		$1,625.00	$1,950.00	$2,405.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $1,300.00 / $2,193.75	Facility		$975.00	$1,300.00	$2,193.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,599.00 / $1,706.25 / $3,900.00	Professional		$1,599.00	$1,706.25	$3,900.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,137.50 / $1,953.25 / $6,934.53	Facility		$1,137.50	$1,953.25	$6,934.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,137.50 / $1,966.90 / $6,934.53	Professional		$1,137.50	$1,966.90	$6,934.53
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $812.50 / $1,868.75	Professional		$682.50	$812.50	$1,868.75