Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $12,589.25	Facility		$2,454.71	$6,760.83	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,715.35	Professional		$2,137.96	$2,511.89	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $16,982.44 / $20,417.38	Facility		$12,882.50	$16,982.44	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,187.76	Professional		$1,288.25	$1,288.25	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,951.21	Professional		$2,511.89	$2,630.27	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,456.54 / $16,595.87	Facility		$3,311.31	$6,456.54	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,677.35	Professional		$3,981.07	$3,981.07	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $4,570.88	Professional		$3,235.94	$3,548.13	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $5,011.87	Facility		$2,454.71	$3,162.28	$5,011.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $6,760.83	Professional		$2,089.30	$2,089.30	$6,760.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $6,309.57	Facility		$2,290.87	$3,235.94	$6,309.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $6,309.57	Professional		$2,290.87	$3,235.94	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $3,890.45	Facility		$1,949.84	$3,235.94	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $3,715.35	Professional		$1,348.96	$1,621.81	$3,715.35