Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.25 / $4,796.00 / $9,539.00	Facility		$1,673.25	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.49 / $1,673.25 / $2,037.07	Professional		$1,401.49	$1,673.25	$2,037.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,807.00 / $17,284.09 / $24,194.30	Facility		$7,807.00	$17,284.09	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,369.55 / $1,724.88 / $2,522.80	Professional		$1,369.55	$1,724.88	$2,522.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,618.31 / $1,667.59 / $3,251.80	Professional		$1,618.31	$1,667.59	$3,251.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,675.90	Facility		$490.00	$610.00	$1,675.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.32 / $1,928.39 / $3,236.61	Professional		$1,403.32	$1,928.39	$3,236.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,341.30 / $1,656.90 / $2,518.52	Professional		$1,341.30	$1,656.90	$2,518.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,555.87 / $1,988.00 / $2,902.38	Facility		$1,555.87	$1,988.00	$2,902.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $2,091.44 / $3,369.29	Professional		$1,846.00	$2,091.44	$3,369.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,492.49 / $1,914.24 / $3,245.87	Facility		$1,492.49	$1,914.24	$3,245.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,492.49 / $1,914.24 / $3,245.87	Professional		$1,492.49	$1,914.24	$3,245.87
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,974.00 / $5,445.00	Facility		$425.00	$2,974.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.75 / $1,824.35 / $2,873.13	Professional		$1,195.75	$1,824.35	$2,873.13