Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.46 / $5,143.47 / $6,707.91	Facility		$2,303.46	$5,143.47	$6,707.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,032.46 / $2,303.46 / $2,303.46	Professional		$2,032.46	$2,303.46	$2,303.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,292.39 / $13,197.46 / $16,666.18	Facility		$10,292.39	$13,197.46	$16,666.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $56.34	Professional		$33.20	$33.20	$56.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,167.96 / $2,493.15 / $4,861.64	Professional		$2,167.96	$2,493.15	$4,861.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.47 / $5,973.45 / $13,882.55	Facility		$1,761.47	$5,973.45	$13,882.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,300.86 / $3,300.86 / $3,954.81	Professional		$3,300.86	$3,300.86	$3,954.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $3,251.94 / $4,010.73	Professional		$2,709.95	$3,251.94	$4,010.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,154.41 / $2,709.95 / $4,606.92	Facility		$2,154.41	$2,709.95	$4,606.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,713.00 / $4,742.41 / $6,503.88	Professional		$3,713.00	$4,742.41	$6,503.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,896.97 / $3,007.50 / $5,031.29	Facility		$1,896.97	$3,007.50	$5,031.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,896.97 / $3,081.21 / $5,031.29	Professional		$1,896.97	$3,081.21	$5,031.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,354.98 / $3,116.44	Professional		$1,138.18	$1,354.98	$3,116.44