Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.83 / $4,771.00 / $9,539.00	Facility		$1,204.83	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.65 / $1,204.83 / $1,421.53	Professional		$784.65	$1,204.83	$1,421.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,760.00 / $18,805.21 / $26,191.85	Facility		$8,760.00	$18,805.21	$26,191.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.95 / $1,311.05 / $2,167.55	Professional		$1,002.95	$1,311.05	$2,167.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,176.34 / $1,210.00 / $2,223.30	Professional		$1,176.34	$1,210.00	$2,223.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,249.74	Facility		$640.00	$640.00	$1,249.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.80 / $1,187.90 / $2,449.35	Professional		$867.80	$1,187.90	$2,449.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,040.63 / $1,346.70 / $1,591.55	Professional		$1,040.63	$1,346.70	$1,591.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.61 / $1,291.96 / $2,018.82	Facility		$1,000.61	$1,291.96	$2,018.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,024.79 / $1,267.00 / $2,004.00	Professional		$1,024.79	$1,267.00	$2,004.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $854.69 / $1,227.00 / $2,573.09	Facility		$854.69	$1,227.00	$2,573.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $854.69 / $1,227.00 / $2,573.09	Professional		$854.69	$1,227.00	$2,573.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.72 / $1,204.96 / $2,098.06	Professional		$733.72	$1,204.96	$2,098.06