Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.79 / $5,048.00 / $10,767.00	Facility		$1,381.79	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $1,381.79 / $2,185.09	Professional		$663.58	$1,381.79	$2,185.09
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 $1,454.70 / $1,901.58 / $3,143.88	Professional		$1,454.70	$1,901.58	$3,143.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,369.00 / $7,889.00 / $9,638.00	Professional		$4,369.00	$7,889.00	$9,638.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,248.48	Facility		$640.00	$640.00	$2,248.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,360.83 / $9,360.83 / $9,360.83	Professional		$9,360.83	$9,360.83	$9,360.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,754.88 / $2,245.60 / $2,597.21	Professional		$1,754.88	$2,245.60	$2,597.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.79 / $1,720.45 / $3,168.38	Facility		$1,318.79	$1,720.45	$3,168.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,907.29 / $3,686.78 / $4,650.29	Professional		$2,907.29	$3,686.78	$4,650.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,906.16 / $3,200.79 / $9,805.37	Facility		$1,906.16	$3,200.79	$9,805.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,906.16 / $3,200.79 / $9,805.37	Professional		$1,906.16	$3,200.79	$9,805.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,291.00 / $17,187.00	Facility		$5,061.00	$8,291.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $2,028.72 / $4,576.21	Professional		$592.79	$2,028.72	$4,576.21