Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.86 / $4,771.00 / $9,539.00	Facility		$1,203.86	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.29 / $1,203.86 / $1,466.76	Professional		$1,004.29	$1,203.86	$1,466.76
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 $976.67 / $1,248.95 / $1,765.51	Professional		$976.67	$1,248.95	$1,765.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,177.45 / $1,206.95 / $2,353.55	Professional		$1,177.45	$1,206.95	$2,353.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,207.13	Facility		$490.00	$610.00	$1,207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.21 / $1,336.58 / $2,289.31	Professional		$928.21	$1,336.58	$2,289.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.80 / $1,207.86 / $1,816.54	Professional		$977.80	$1,207.86	$1,816.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,093.29 / $1,375.75 / $2,034.54	Facility		$1,093.29	$1,375.75	$2,034.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,333.00 / $1,508.74 / $2,443.58	Professional		$1,333.00	$1,508.74	$2,443.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,048.26 / $1,315.68 / $2,340.37	Facility		$1,048.26	$1,315.68	$2,340.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,048.26 / $1,315.68 / $2,340.37	Professional		$1,048.26	$1,315.68	$2,340.37
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 $837.62 / $1,240.27 / $2,096.76	Professional		$837.62	$1,240.27	$2,096.76