Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.79 / $4,796.00 / $9,539.00	Facility		$1,798.79	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.22 / $1,798.79 / $2,182.77	Professional		$1,502.22	$1,798.79	$2,182.77
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 $1,462.23 / $1,841.60 / $2,693.52	Professional		$1,462.23	$1,841.60	$2,693.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,722.11 / $1,789.41 / $3,489.35	Professional		$1,722.11	$1,789.41	$3,489.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,795.73	Facility		$490.00	$610.00	$1,795.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.90 / $2,094.34 / $3,563.52	Professional		$1,494.90	$2,094.34	$3,563.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,425.42 / $1,760.82 / $2,719.59	Professional		$1,425.42	$1,760.82	$2,719.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,665.67 / $2,163.15 / $3,206.35	Facility		$1,665.67	$2,163.15	$3,206.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,987.93 / $2,294.00 / $3,593.16	Professional		$1,987.93	$2,294.00	$3,593.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,599.97 / $2,077.06 / $3,530.40	Facility		$1,599.97	$2,077.06	$3,530.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,599.97 / $2,077.06 / $3,530.40	Professional		$1,599.97	$2,077.06	$3,530.40
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.61 / $1,978.44 / $3,128.87	Professional		$1,311.61	$1,978.44	$3,128.87