Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.41 / $3,991.00 / $8,920.00	Facility		$1,139.41	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.79 / $1,052.36 / $1,428.48	Professional		$975.79	$1,052.36	$1,428.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.19 / $1,190.79 / $1,968.73	Professional		$931.19	$1,190.79	$1,968.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,103.33 / $1,128.55 / $5,113.00	Professional		$1,103.33	$1,128.55	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,140.59	Facility		$640.00	$640.00	$1,140.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.43 / $1,356.66 / $2,210.28	Professional		$988.43	$1,356.66	$2,210.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $955.69 / $1,223.28 / $1,434.77	Professional		$955.69	$1,223.28	$1,434.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,045.34 / $1,333.11 / $1,871.47	Facility		$1,045.34	$1,333.11	$1,871.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $185.36 / $189.23 / $368.29	Facility	AS	$185.36	$189.23	$368.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,273.00 / $1,429.00 / $2,127.55	Professional		$1,273.00	$1,429.00	$2,127.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,001.94 / $1,309.86 / $3,512.00	Facility		$1,001.94	$1,309.86	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,001.94 / $1,309.86 / $3,512.00	Professional		$1,001.94	$1,309.86	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $829.38 / $1,315.85 / $1,984.49	Professional		$829.38	$1,315.85	$1,984.49