Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $2,616.71 / $4,344.13	Facility		$1,316.25	$2,616.71	$4,344.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $1,439.10 / $1,491.75	Professional		$1,316.25	$1,439.10	$1,491.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,665.49 / $8,546.85 / $10,793.25	Facility		$6,665.49	$8,546.85	$10,793.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $561.35	Professional		$336.26	$336.26	$561.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,579.50 / $3,080.03	Professional		$1,560.00	$1,579.50	$3,080.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $3,266.44 / $9,354.15	Facility		$1,267.50	$3,266.44	$9,354.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.96 / $2,374.96 / $2,845.47	Professional		$2,374.96	$2,374.96	$2,845.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $2,886.00	Professional		$1,950.00	$2,340.00	$2,886.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,395.23 / $1,755.00 / $2,983.50	Facility		$1,395.23	$1,755.00	$2,983.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,404.00 / $3,861.00 / $4,680.00	Professional		$2,404.00	$3,861.00	$4,680.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,228.50 / $1,947.70 / $3,258.33	Facility		$1,228.50	$1,947.70	$3,258.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $1,950.00 / $3,246.75	Professional		$1,228.50	$1,950.00	$3,246.75
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $877.50 / $2,018.25	Professional		$737.10	$877.50	$2,018.25