Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,535.71 / $6,470.48 / $10,995.60	Facility		$5,535.71	$6,470.48	$10,995.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,535.71 / $5,535.71 / $7,219.42	Professional		$5,535.71	$5,535.71	$7,219.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,077.25 / $14,203.84 / $17,937.09	Facility		$11,077.25	$14,203.84	$17,937.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $1,780.13	Professional		$1,167.83	$1,167.83	$1,780.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $2,333.28 / $4,549.89	Professional		$2,333.28	$2,333.28	$4,549.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.79 / $5,449.87 / $14,941.00	Facility		$1,895.79	$5,449.87	$14,941.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,552.58 / $3,552.58 / $4,256.39	Professional		$3,552.58	$3,552.58	$4,256.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $3,499.92 / $4,316.57	Professional		$2,916.60	$3,499.92	$4,316.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,318.69 / $2,916.60 / $4,536.77	Facility		$2,318.69	$2,916.60	$4,536.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,442.00 / $5,774.87 / $6,999.84	Professional		$3,442.00	$5,774.87	$6,999.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $2,624.94 / $4,678.22	Facility		$63.50	$2,624.94	$4,678.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $2,916.60 / $4,678.22	Professional		$63.50	$2,916.60	$4,678.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,516.63 / $3,354.09	Professional		$1,224.97	$1,516.63	$3,354.09