Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.53 / $4,771.00 / $9,539.00	Facility		$1,554.53	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.73 / $1,554.53 / $1,906.66	Professional		$1,309.73	$1,554.53	$1,906.66
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 $1,258.08 / $1,627.81 / $2,301.07	Professional		$1,258.08	$1,627.81	$2,301.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,531.28 / $1,535.44 / $2,986.00	Professional		$1,531.28	$1,535.44	$2,986.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,572.50	Facility		$490.00	$610.00	$1,572.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.58 / $1,679.96 / $2,991.93	Professional		$1,192.58	$1,679.96	$2,991.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.48 / $1,575.60 / $2,254.42	Professional		$1,275.48	$1,575.60	$2,254.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $1,779.72 / $2,639.12	Facility		$1,419.00	$1,779.72	$2,639.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,616.00 / $1,922.00 / $3,180.67	Professional		$1,616.00	$1,922.00	$3,180.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,317.14 / $1,672.46 / $3,051.35	Facility		$1,317.14	$1,672.46	$3,051.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,317.14 / $1,672.46 / $3,051.35	Professional		$1,317.14	$1,672.46	$3,051.35
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 $1,066.84 / $1,593.94 / $2,578.62	Professional		$1,066.84	$1,593.94	$2,578.62