Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.29 / $3,645.00 / $8,294.00	Facility		$1,424.29	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.81 / $1,304.23 / $1,783.15	Professional		$1,133.81	$1,304.23	$1,783.15
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 $1,138.83 / $1,488.68 / $2,461.23	Professional		$1,138.83	$1,488.68	$2,461.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,134.49 / $1,270.63 / $5,113.00	Professional		$1,134.49	$1,270.63	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,424.06	Facility		$572.00	$572.00	$1,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.43 / $1,372.62 / $2,760.21	Professional		$682.43	$1,372.62	$2,760.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,198.25 / $1,533.76 / $1,804.65	Professional		$1,198.25	$1,533.76	$1,804.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $742.00 / $1,424.29 / $2,326.77	Facility		$742.00	$1,424.29	$2,326.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,579.00 / $2,342.00	Professional		$798.00	$1,579.00	$2,342.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $644.46 / $1,449.04 / $5,122.00	Facility		$644.46	$1,449.04	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $644.46 / $1,449.04 / $5,122.00	Professional		$644.46	$1,449.04	$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 $588.59 / $1,207.57 / $2,389.94	Professional		$588.59	$1,207.57	$2,389.94