Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,041.74 / $5,754.40	Facility		$457.09	$2,041.74	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,089.30 / $2,691.53	Professional		$457.09	$2,089.30	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $14,454.40 / $16,982.44	Facility		$10,964.78	$14,454.40	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $363.08	Professional		$208.93	$208.93	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,511.89	Professional		$2,137.96	$2,238.72	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $14,125.38	Facility		$2,818.38	$5,370.32	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,981.07	Professional		$3,388.44	$3,388.44	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,890.45	Professional		$2,754.23	$3,019.95	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,398.83 / $3,890.45	Facility		$478.63	$2,398.83	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $5,754.40	Professional		$1,778.28	$1,778.28	$5,754.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $5,754.40	Facility		$2,041.74	$3,162.28	$5,754.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $5,754.40	Professional		$1,949.84	$3,311.31	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $3,311.31	Facility		$1,659.59	$2,754.23	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $3,162.28	Professional		$1,148.15	$1,380.38	$3,162.28