Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $10,000.00	Facility		$2,089.30	$3,630.78	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,715.35	Professional		$1,659.59	$2,041.74	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $12,302.69	Facility		$5,888.44	$8,709.64	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,548.13	Professional		$1,737.80	$2,290.87	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,630.27	Professional		$1,737.80	$1,949.84	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,630.78	Professional		$1,479.11	$2,187.76	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,090.30	Professional		$1,584.89	$1,905.46	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $4,168.69	Professional		$2,398.83	$2,511.89	$4,168.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,715.35	Facility		$1,778.28	$2,398.83	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,715.35	Professional		$2,041.74	$2,041.74	$3,715.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $4,265.80	Facility		$1,778.28	$2,187.76	$4,265.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $4,265.80	Professional		$1,778.28	$2,187.76	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,630.78	Professional		$1,445.44	$2,089.30	$3,630.78