Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.27 / $5,048.00 / $9,918.00	Facility		$2,087.27	$5,048.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.32 / $2,051.34 / $2,580.90	Professional		$1,720.32	$2,051.34	$2,580.90
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 $1,654.44 / $2,083.69 / $2,945.50	Professional		$1,654.44	$2,083.69	$2,945.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,961.92 / $2,033.41 / $3,965.15	Professional		$1,961.92	$2,033.41	$3,965.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,014.84	Facility		$490.00	$610.00	$2,014.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.55 / $2,220.85 / $3,914.92	Professional		$1,598.55	$2,220.85	$3,914.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,624.44 / $2,014.31 / $2,999.96	Professional		$1,624.44	$2,014.31	$2,999.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,774.18 / $2,292.25 / $3,409.83	Facility		$1,774.18	$2,292.25	$3,409.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,230.00 / $2,594.79 / $4,135.66	Professional		$2,230.00	$2,594.79	$4,135.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,760.52 / $2,236.46 / $3,926.78	Facility		$1,760.52	$2,236.46	$3,926.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,760.52 / $2,236.46 / $3,926.78	Professional		$1,760.52	$2,236.46	$3,926.78
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 $1,404.50 / $2,042.17 / $3,466.94	Professional		$1,404.50	$2,042.17	$3,466.94