Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,248.07 / $9,772.37	Facility		$1,862.09	$5,248.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,884.03	Professional		$1,659.59	$1,949.84	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $10,000.00	Facility		$2,511.89	$2,511.89	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,290.87	Professional		$1,949.84	$2,041.74	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $12,882.50	Facility		$2,570.40	$5,495.41	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,630.78	Professional		$3,090.30	$3,090.30	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $3,548.13	Professional		$2,511.89	$2,754.23	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,890.45	Facility		$1,862.09	$2,454.71	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $5,248.07	Professional		$1,621.81	$1,621.81	$5,248.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $7,079.46	Facility		$1,621.81	$3,162.28	$7,079.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $7,413.10	Professional		$1,621.81	$3,162.28	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,019.95	Facility		$1,659.59	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $3,235.94	Professional		$1,047.13	$1,380.38	$3,235.94