Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,822.06 / $4,068.55 / $7,138.18	Facility		$1,822.06	$4,068.55	$7,138.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.16 / $1,672.01 / $1,822.06	Professional		$1,286.16	$1,672.01	$1,822.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.60 / $2,143.60 / $10,439.33	Facility		$2,143.60	$2,143.60	$10,439.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.44 / $857.44 / $1,346.60	Professional		$857.44	$857.44	$1,346.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,714.88 / $1,714.88 / $3,344.02	Professional		$1,714.88	$1,714.88	$3,344.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.34 / $3,989.87 / $10,982.21	Facility		$1,393.34	$3,989.87	$10,982.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.33 / $1,301.23 / $3,538.30	Professional		$1,004.33	$1,301.23	$3,538.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,143.60 / $2,572.32 / $3,172.53	Professional		$2,143.60	$2,572.32	$3,172.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $861.00 / $1,286.16 / $2,572.32	Facility		$861.00	$1,286.16	$2,572.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $2,228.38 / $5,062.60	Professional		$741.00	$2,228.38	$5,062.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,500.52 / $2,576.61 / $9,147.60	Facility		$1,500.52	$2,576.61	$9,147.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,500.52 / $2,576.61 / $9,147.60	Professional		$1,500.52	$2,576.61	$9,147.60
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $900.31 / $1,286.16	Professional		$252.88	$900.31	$1,286.16