Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.21 / $4,771.00 / $9,539.00	Facility		$1,313.21	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.99 / $1,283.49 / $1,623.98	Professional		$890.99	$1,283.49	$1,623.98
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 $1,112.83 / $1,451.35 / $2,399.51	Professional		$1,112.83	$1,451.35	$2,399.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,055.29 / $1,994.50	Professional		$916.00	$1,055.29	$1,994.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,379.44	Facility		$640.00	$640.00	$1,379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.89 / $1,375.88 / $2,603.94	Professional		$1,060.89	$1,375.88	$2,603.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.91 / $1,491.08 / $1,761.83	Professional		$1,164.91	$1,491.08	$1,761.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,150.48 / $1,482.89 / $2,195.87	Facility		$1,150.48	$1,482.89	$2,195.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,205.00 / $1,518.00 / $2,268.00	Professional		$1,205.00	$1,518.00	$2,268.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,056.35 / $1,426.07 / $5,069.17	Facility		$1,056.35	$1,426.07	$5,069.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,056.35 / $1,426.07 / $5,069.17	Professional		$1,056.35	$1,426.07	$5,069.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.95 / $1,361.26 / $2,284.87	Professional		$854.95	$1,361.26	$2,284.87