Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,128.61 / $6,760.83	Facility		$2,041.74	$5,128.61	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,511.89	Professional		$1,778.28	$2,041.74	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $14,125.38 / $16,982.44	Facility		$10,715.19	$14,125.38	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $58.88	Professional		$33.11	$33.11	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,454.71	Professional		$2,089.30	$2,187.76	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,760.83 / $13,803.84	Facility		$2,754.23	$6,760.83	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,981.07	Professional		$3,311.31	$3,311.31	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,801.89	Professional		$2,691.53	$2,951.21	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $4,168.69	Facility		$2,041.74	$2,630.27	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $5,754.40	Professional		$1,778.28	$1,778.28	$5,754.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $5,495.41	Facility		$1,905.46	$3,090.30	$5,495.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $5,495.41	Professional		$1,905.46	$3,090.30	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $3,235.94	Facility		$1,621.81	$2,691.53	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $3,090.30	Professional		$1,148.15	$1,348.96	$3,090.30