Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,754.40 / $15,135.61	Facility		$1,513.56	$5,754.40	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $2,570.40	Professional		$1,513.56	$2,344.23	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $18,620.87	Facility		$12,022.64	$15,848.93	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,398.83	Professional		$1,445.44	$1,445.44	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,691.53	Professional		$2,290.87	$2,454.71	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,888.44 / $15,488.17	Facility		$3,090.30	$5,888.44	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,365.16	Professional		$3,630.78	$3,630.78	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $4,168.69	Professional		$3,019.95	$3,311.31	$4,168.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $4,168.69	Facility		$1,584.89	$2,691.53	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $6,309.57	Professional		$1,949.84	$1,949.84	$6,309.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $5,888.44	Facility		$2,089.30	$3,019.95	$5,888.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $5,888.44	Professional		$2,089.30	$3,019.95	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $3,630.78	Facility		$1,819.70	$3,019.95	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $3,467.37	Professional		$1,258.93	$1,513.56	$3,467.37