Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,011.87 / $12,882.50	Facility		$1,995.26	$5,011.87	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $4,365.16	Professional		$1,659.59	$2,137.96	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,630.78	Professional		$1,445.44	$2,041.74	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $18,197.01 / $22,387.21	Professional		$12,589.25	$18,197.01	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,090.30	Professional		$2,089.30	$2,511.89	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $3,981.07	Facility		$1,659.59	$2,344.23	$3,981.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,951.21 / $10,964.78	Facility		$1,513.56	$2,951.21	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $10,964.78	Professional		$2,041.74	$3,019.95	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $3,801.89	Professional		$1,047.13	$1,819.70	$3,801.89