Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.00 / $1,244.97 / $6,950.72	Facility		$477.00	$1,244.97	$6,950.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $2,211.59 / $2,590.71	Professional		$477.00	$2,211.59	$2,590.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,999.48 / $15,386.38 / $19,430.43	Facility		$11,999.48	$15,386.38	$19,430.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $347.23	Professional		$208.00	$208.00	$347.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,527.54 / $2,843.48 / $5,544.79	Professional		$2,527.54	$2,843.48	$5,544.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,053.62 / $5,880.09 / $16,185.66	Facility		$2,053.62	$5,880.09	$16,185.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,848.09 / $3,848.09 / $4,610.43	Professional		$3,848.09	$3,848.09	$4,610.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,791.30 / $4,675.93	Professional		$3,159.42	$3,791.30	$4,675.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $505.62 / $2,369.57 / $3,791.31	Facility		$505.62	$2,369.57	$3,791.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,328.00 / $6,255.65 / $7,582.61	Professional		$4,328.00	$6,255.65	$7,582.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,360.09 / $3,633.33 / $5,865.78	Facility		$2,360.09	$3,633.33	$5,865.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,243.19 / $3,633.33 / $5,844.93	Professional		$2,243.19	$3,633.33	$5,844.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,579.71 / $3,633.33	Professional		$1,326.96	$1,579.71	$3,633.33