Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.17 / $5,587.00 / $11,425.00	Facility		$1,318.17	$5,587.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.02 / $1,318.17 / $1,369.52	Professional		$1,235.02	$1,318.17	$1,369.52
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 $1,215.92 / $1,554.89 / $2,590.44	Professional		$1,215.92	$1,554.89	$2,590.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,826.00 / $8,530.00 / $9,638.00	Professional		$6,826.00	$8,530.00	$9,638.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,493.35	Facility		$640.00	$640.00	$1,493.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,843.53 / $5,843.53 / $5,843.53	Professional		$5,843.53	$5,843.53	$5,843.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.07 / $1,503.60 / $1,739.10	Professional		$1,175.07	$1,503.60	$1,739.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,186.69 / $1,400.00 / $2,314.48	Facility		$1,186.69	$1,400.00	$2,314.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,721.76 / $2,183.39 / $3,088.66	Professional		$1,721.76	$2,183.39	$3,088.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,273.44 / $1,686.26 / $5,122.00	Facility		$1,273.44	$1,686.26	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,273.44 / $1,686.26 / $5,122.00	Professional		$1,273.44	$1,686.26	$5,122.00
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 $1,072.00 / $1,902.10 / $3,090.60	Professional		$1,072.00	$1,902.10	$3,090.60