Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.53 / $5,360.00 / $9,975.00	Facility		$1,112.53	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.82 / $1,042.82 / $1,246.21	Professional		$883.82	$1,042.82	$1,246.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.98 / $1,197.82 / $1,654.72	Professional		$922.98	$1,197.82	$1,654.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.89 / $1,151.43 / $5,036.00	Professional		$1,071.89	$1,151.43	$5,036.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.29 / $1,151.29 / $1,151.29	Facility		$1,151.29	$1,151.29	$1,151.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.97 / $1,167.77 / $2,032.23	Professional		$972.97	$1,167.77	$2,032.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.05 / $1,187.93 / $1,414.20	Professional		$1,072.05	$1,187.93	$1,414.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $918.19 / $1,153.99 / $1,795.27	Facility		$918.19	$1,153.99	$1,795.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,222.00 / $1,383.71 / $2,374.00	Professional		$1,222.00	$1,383.71	$2,374.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $978.31 / $1,263.89 / $5,502.98	Facility		$978.31	$1,263.89	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $978.31 / $1,263.89 / $5,502.98	Professional		$978.31	$1,263.89	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.05 / $1,057.43 / $1,817.76	Professional		$741.05	$1,057.43	$1,817.76