Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.48 / $1,571.78 / $22,703.00	Facility		$1,435.48	$1,571.78	$22,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.53 / $1,571.78 / $2,555.15	Professional		$1,140.53	$1,571.78	$2,555.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34,836.00 / $44,154.00 / $47,864.00	Facility		$34,836.00	$44,154.00	$47,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,293.83 / $1,654.53 / $2,269.17	Professional		$1,293.83	$1,654.53	$2,269.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,574.83 / $3,025.09	Professional		$794.00	$1,574.83	$3,025.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29,401.00 / $31,294.00 / $44,719.00	Facility		$29,401.00	$31,294.00	$44,719.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.22 / $1,699.23 / $3,457.47	Professional		$958.22	$1,699.23	$3,457.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,298.79 / $1,558.55 / $1,922.21	Professional		$1,298.79	$1,558.55	$1,922.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,203.75 / $1,714.67 / $2,567.71	Facility		$1,203.75	$1,714.67	$2,567.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $132.90 / $259.04 / $376.51	Facility	AS	$132.90	$259.04	$376.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,196.00 / $1,774.00 / $4,087.23	Professional		$1,196.00	$1,774.00	$4,087.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $855.55 / $1,742.81 / $7,902.00	Facility		$855.55	$1,742.81	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $855.55 / $1,742.81 / $7,902.00	Professional		$855.55	$1,742.81	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.35 / $1,474.91 / $2,824.47	Professional		$886.35	$1,474.91	$2,824.47