Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $1,462.50 / $7,351.50	Facility		$358.75	$1,462.50	$7,351.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $1,462.50 / $1,599.00	Professional		$358.75	$1,462.50	$1,599.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,406.10 / $9,496.50 / $11,992.50	Facility		$7,406.10	$9,496.50	$11,992.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $399.25	Professional		$239.16	$239.16	$399.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,755.00 / $3,422.25	Professional		$1,560.00	$1,755.00	$3,422.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.85 / $3,067.35 / $8,839.91	Facility		$95.85	$3,067.35	$8,839.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.96 / $2,374.96 / $2,845.47	Professional		$2,374.96	$2,374.96	$2,845.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $2,886.00	Professional		$1,950.00	$2,340.00	$2,886.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.28 / $1,462.50 / $2,340.00	Facility		$380.28	$1,462.50	$2,340.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,301.00 / $3,861.00 / $4,680.00	Professional		$2,301.00	$3,861.00	$4,680.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $2,217.15 / $3,620.37	Facility		$1,365.00	$2,217.15	$3,620.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $2,242.50 / $3,607.50	Professional		$1,365.00	$2,242.50	$3,607.50
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,014.00 / $2,535.00	Professional		$819.00	$1,014.00	$2,535.00