Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.39 / $5,048.00 / $9,918.00	Facility		$1,949.39	$5,048.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.04 / $1,949.39 / $2,411.19	Professional		$1,598.04	$1,949.39	$2,411.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.13 / $8,012.60 / $11,216.04	Facility		$5,362.13	$8,012.60	$11,216.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,618.61 / $2,058.92 / $2,910.50	Professional		$1,618.61	$2,058.92	$2,910.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,930.05 / $1,942.09 / $3,763.60	Professional		$1,930.05	$1,942.09	$3,763.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,988.99	Facility		$490.00	$610.00	$1,988.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.45 / $2,131.03 / $3,783.69	Professional		$1,517.45	$2,131.03	$3,783.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,611.73 / $1,990.96 / $2,844.23	Professional		$1,611.73	$1,990.96	$2,844.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,789.72 / $2,235.78 / $3,294.47	Facility		$1,789.72	$2,235.78	$3,294.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,087.00 / $2,419.29 / $4,022.90	Professional		$2,087.00	$2,419.29	$4,022.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,706.45 / $2,107.96 / $3,858.81	Facility		$1,706.45	$2,107.96	$3,858.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,706.45 / $2,107.96 / $3,858.81	Professional		$1,706.45	$2,107.96	$3,858.81
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 $1,348.72 / $2,010.37 / $3,397.01	Professional		$1,348.72	$2,010.37	$3,397.01