Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $1,188.67 / $6,057.15	Facility		$455.43	$1,188.67	$6,057.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $2,064.94 / $2,257.67	Professional		$455.43	$2,064.94	$2,257.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,456.84 / $13,408.33 / $16,932.49	Facility		$10,456.84	$13,408.33	$16,932.49
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 $2,202.60 / $2,477.92 / $4,831.96	Professional		$2,202.60	$2,477.92	$4,831.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,789.61 / $5,124.50 / $14,103.94	Facility		$1,789.61	$5,124.50	$14,103.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,353.83 / $3,353.83 / $4,018.27	Professional		$3,353.83	$3,353.83	$4,018.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,753.25 / $3,303.90 / $4,074.81	Professional		$2,753.25	$3,303.90	$4,074.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $482.76 / $2,064.94 / $3,303.90	Facility		$482.76	$2,064.94	$3,303.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,772.00 / $5,451.44 / $6,607.80	Professional		$3,772.00	$5,451.44	$6,607.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,056.67 / $3,166.24 / $5,111.68	Facility		$2,056.67	$3,166.24	$5,111.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,954.81 / $3,166.24 / $5,093.51	Professional		$1,954.81	$3,166.24	$5,093.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,431.69 / $3,166.24	Professional		$1,156.36	$1,431.69	$3,166.24