Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $4,570.88	Facility		$1,412.54	$3,548.13	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,137.96	Professional		$1,230.27	$1,445.44	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $9,772.37 / $11,748.98	Facility		$7,413.10	$9,772.37	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $371.54	Professional		$208.93	$208.93	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,698.24	Professional		$1,445.44	$1,513.56	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,466.84 / $9,549.93	Facility		$1,202.26	$4,466.84	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,691.53	Professional		$2,290.87	$2,290.87	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,630.27	Professional		$1,862.09	$2,041.74	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,884.03	Facility		$1,412.54	$1,778.28	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,630.78	Facility		$1,318.26	$2,137.96	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,801.89	Professional		$1,318.26	$2,137.96	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,862.09	Facility		$776.25	$1,122.02	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $2,137.96	Professional		$776.25	$933.25	$2,137.96