Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.66 / $4,764.38 / $8,986.54	Facility		$1,882.66	$4,764.38	$8,986.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.66 / $2,058.37 / $2,133.67	Professional		$1,882.66	$2,058.37	$2,133.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $12,337.68	Facility		$2,510.21	$2,510.21	$12,337.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,156.40	Professional		$1,500.00	$1,500.00	$2,156.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,008.17 / $2,259.19 / $4,405.42	Professional		$2,008.17	$2,259.19	$4,405.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $4,690.51 / $12,859.28	Facility		$1,631.64	$4,690.51	$12,859.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,057.46 / $3,057.46 / $3,663.18	Professional		$3,057.46	$3,057.46	$3,663.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $3,012.25 / $3,715.11	Professional		$2,510.21	$3,012.25	$3,715.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.62 / $2,510.21 / $4,267.35	Facility		$1,995.62	$2,510.21	$4,267.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,291.00 / $5,048.00 / $6,024.50	Professional		$3,291.00	$5,048.00	$6,024.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,650.21 / $3,017.27 / $6,127.70	Facility		$1,650.21	$3,017.27	$6,127.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,650.21 / $3,017.27 / $6,127.70	Professional		$1,650.21	$3,017.27	$6,127.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,394.56 / $3,207.49	Professional		$1,054.29	$1,394.56	$3,207.49