Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.68 / $4,771.00 / $9,539.00	Facility		$1,152.68	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.12 / $1,152.68 / $1,571.54	Professional		$999.12	$1,152.68	$1,571.54
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 $946.14 / $1,224.20 / $1,730.52	Professional		$946.14	$1,224.20	$1,730.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,160.33 / $1,257.20 / $2,451.54	Professional		$1,160.33	$1,257.20	$2,451.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,175.30	Facility		$490.00	$610.00	$1,175.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.95 / $1,269.58 / $2,232.46	Professional		$871.95	$1,269.58	$2,232.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.34 / $1,190.01 / $1,727.96	Professional		$963.34	$1,190.01	$1,727.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,029.60 / $1,324.26 / $1,951.72	Facility		$1,029.60	$1,324.26	$1,951.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,248.00 / $1,457.00 / $2,428.63	Professional		$1,248.00	$1,457.00	$2,428.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $995.33 / $1,287.57 / $2,244.79	Facility		$995.33	$1,287.57	$2,244.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $995.33 / $1,287.57 / $2,244.79	Professional		$995.33	$1,287.57	$2,244.79
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 $786.50 / $1,172.08 / $1,972.53	Professional		$786.50	$1,172.08	$1,972.53