Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.65 / $3,170.16 / $5,262.95	Facility		$1,594.65	$3,170.16	$5,262.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.65 / $1,743.48 / $1,807.27	Professional		$1,594.65	$1,743.48	$1,807.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,075.31 / $10,354.59 / $13,076.13	Facility		$8,075.31	$10,354.59	$13,076.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $22.16	Professional		$13.28	$13.28	$22.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,700.96 / $1,700.96 / $3,316.87	Professional		$1,700.96	$1,700.96	$3,316.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.03 / $4,686.51 / $10,891.67	Facility		$1,382.03	$4,686.51	$10,891.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,589.91 / $2,589.91 / $3,103.00	Professional		$2,589.91	$2,589.91	$3,103.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,551.44 / $3,146.78	Professional		$2,126.19	$2,551.44	$3,146.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,690.33 / $2,126.19 / $3,614.54	Facility		$1,690.33	$2,126.19	$3,614.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,913.00 / $4,209.88 / $5,102.88	Professional		$2,913.00	$4,209.88	$5,102.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,486.21 / $2,300.55 / $3,947.50	Facility		$1,486.21	$2,300.55	$3,947.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,488.34 / $2,359.66 / $3,947.50	Professional		$1,488.34	$2,359.66	$3,947.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.72 / $2,126.19 / $2,551.44	Facility		$1,275.72	$2,126.19	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,105.61 / $3,040.47	Professional		$893.00	$1,105.61	$3,040.47