Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.48 / $4,771.00 / $9,539.00	Facility		$1,438.48	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.39 / $1,345.82 / $1,645.08	Professional		$1,069.39	$1,345.82	$1,645.08
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 $1,132.03 / $1,464.71 / $2,421.60	Professional		$1,132.03	$1,464.71	$2,421.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,286.47 / $1,286.47 / $2,431.42	Professional		$1,286.47	$1,286.47	$2,431.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,392.82	Facility		$640.00	$640.00	$1,392.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.54 / $1,533.09 / $2,800.93	Professional		$1,123.54	$1,533.09	$2,800.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.33 / $1,508.28 / $1,777.50	Professional		$1,178.33	$1,508.28	$1,777.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $1,646.53 / $2,353.96	Facility		$1,252.00	$1,646.53	$2,353.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,431.00 / $1,710.58 / $2,369.00	Professional		$1,431.00	$1,710.58	$2,369.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,187.26 / $1,546.97 / $3,042.36	Facility		$1,187.26	$1,546.97	$3,042.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,187.26 / $1,546.97 / $3,042.36	Professional		$1,187.26	$1,546.97	$3,042.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,945.00 / $5,226.00	Facility		$1,275.00	$2,945.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $929.51 / $1,487.21 / $2,505.16	Professional		$929.51	$1,487.21	$2,505.16