Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,786.30 / $6,165.95	Facility		$1,862.09	$4,786.30	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,884.03	Professional		$1,659.59	$1,949.84	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,182.57 / $15,488.17	Facility		$10,000.00	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $537.03	Professional		$302.00	$302.00	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,290.87	Professional		$1,949.84	$2,041.74	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $12,882.50	Facility		$2,570.40	$6,165.95	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,311.31	Professional		$2,754.23	$2,754.23	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $3,548.13	Professional		$2,511.89	$2,754.23	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,890.45	Facility		$1,862.09	$2,454.71	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $5,248.07	Professional		$1,621.81	$1,621.81	$5,248.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $5,128.61	Facility		$1,737.80	$2,884.03	$5,128.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $5,128.61	Professional		$1,737.80	$2,884.03	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $3,019.95	Facility		$1,513.56	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,884.03	Professional		$1,047.13	$1,258.93	$2,884.03