Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.67 / $4,771.00 / $9,539.00	Facility		$1,582.67	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.34 / $1,582.67 / $1,924.15	Professional		$1,339.34	$1,582.67	$1,924.15
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 $1,297.46 / $1,634.09 / $2,309.94	Professional		$1,297.46	$1,634.09	$2,309.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,536.16 / $1,581.09 / $3,083.13	Professional		$1,536.16	$1,581.09	$3,083.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,584.30	Facility		$490.00	$610.00	$1,584.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.00 / $1,764.56 / $3,000.14	Professional		$1,290.00	$1,764.56	$3,000.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,273.46 / $1,573.10 / $2,391.21	Professional		$1,273.46	$1,573.10	$2,391.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,436.65 / $1,859.23 / $2,712.38	Facility		$1,436.65	$1,859.23	$2,712.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $1,982.57 / $3,193.75	Professional		$1,752.00	$1,982.57	$3,193.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,366.92 / $1,741.74 / $3,160.08	Facility		$1,366.92	$1,741.74	$3,160.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,366.92 / $1,741.74 / $3,160.08	Professional		$1,366.92	$1,741.74	$3,160.08
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 $1,123.70 / $1,641.79 / $2,756.51	Professional		$1,123.70	$1,641.79	$2,756.51