Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.43 / $5,048.00 / $10,767.00	Facility		$971.43	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.43 / $2,164.39 / $2,659.27	Professional		$971.43	$2,164.39	$2,659.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,266.20 / $1,655.17 / $2,736.49	Professional		$1,266.20	$1,655.17	$2,736.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,369.00 / $6,433.00 / $8,031.00	Professional		$4,369.00	$6,433.00	$8,031.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,200.19	Facility		$640.00	$640.00	$2,200.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,162.82 / $9,162.82 / $9,162.82	Professional		$9,162.82	$9,162.82	$9,162.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,843.00 / $2,358.35 / $2,727.64	Professional		$1,843.00	$2,358.35	$2,727.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $971.43 / $1,322.68 / $3,496.01	Facility		$971.43	$1,322.68	$3,496.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,930.15 / $3,715.78 / $4,550.39	Professional		$2,930.15	$3,715.78	$4,550.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,615.97 / $2,928.17 / $7,420.00	Facility		$1,615.97	$2,928.17	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,615.97 / $2,928.17 / $7,420.00	Professional		$1,615.97	$2,928.17	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.02 / $1,554.19 / $3,284.32	Professional		$470.02	$1,554.19	$3,284.32