Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,606.93 / $8,709.64	Facility		$2,630.27	$6,606.93	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $3,981.07	Professional		$2,454.71	$2,818.38	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,197.01 / $21,877.62	Facility		$14,125.38	$18,197.01	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $426.58	Professional		$239.88	$239.88	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $3,162.28	Professional		$2,691.53	$2,818.38	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,709.64 / $17,782.79	Facility		$3,548.13	$8,709.64	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,128.61	Professional		$4,265.80	$4,265.80	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $4,897.79	Professional		$3,467.37	$3,890.45	$4,897.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $5,495.41	Facility		$2,630.27	$3,388.44	$5,495.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $7,413.10	Professional		$2,290.87	$2,290.87	$7,413.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $10,000.00	Facility		$2,454.71	$4,073.80	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $10,000.00	Professional		$2,454.71	$4,073.80	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $4,168.69	Facility		$2,089.30	$3,467.37	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $3,981.07	Professional		$1,479.11	$1,737.80	$3,981.07