Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,966.19 / $6,623.32 / $8,637.84	Facility		$2,966.19	$6,623.32	$8,637.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,617.21 / $2,966.19 / $2,966.19	Professional		$2,617.21	$2,966.19	$2,966.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,253.61 / $16,994.50 / $21,461.22	Facility		$13,253.61	$16,994.50	$21,461.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $333.88	Professional		$200.00	$200.00	$333.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,791.70 / $3,245.36 / $6,328.45	Professional		$2,791.70	$3,245.36	$6,328.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,268.26 / $7,692.00 / $17,876.52	Facility		$2,268.26	$7,692.00	$17,876.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,859.33 / $3,859.33 / $4,623.91	Professional		$3,859.33	$3,859.33	$4,623.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,489.63 / $4,187.56 / $5,164.64	Professional		$3,489.63	$4,187.56	$5,164.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,774.25 / $3,489.63 / $5,428.13	Facility		$2,774.25	$3,489.63	$5,428.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,781.00 / $6,909.47 / $8,375.11	Professional		$4,781.00	$6,909.47	$8,375.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,439.25 / $3,775.78 / $6,478.85	Facility		$2,439.25	$3,775.78	$6,478.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,442.73 / $3,872.79 / $6,478.85	Professional		$2,442.73	$3,872.79	$6,478.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $1,744.82 / $3,761.82	Professional		$1,465.64	$1,744.82	$3,761.82