Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.69 / $2,919.60 / $7,226.84	Facility		$2,189.69	$2,919.60	$7,226.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.69 / $2,394.07 / $2,481.66	Professional		$2,189.69	$2,394.07	$2,481.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,088.64 / $14,218.45 / $17,955.54	Facility		$11,088.64	$14,218.45	$17,955.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $1,897.74	Professional		$1,167.83	$1,167.83	$1,897.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,335.67 / $2,686.03 / $5,237.76	Professional		$2,335.67	$2,686.03	$5,237.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $6,435.39 / $14,956.11	Facility		$1,897.74	$6,435.39	$14,956.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,556.09 / $3,556.09 / $4,260.59	Professional		$3,556.09	$3,556.09	$4,260.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,503.52 / $4,321.01	Professional		$2,919.60	$3,503.52	$4,321.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,321.08 / $2,919.60 / $4,963.32	Facility		$2,321.08	$2,919.60	$4,963.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $5,109.30 / $7,007.04	Professional		$4,000.00	$5,109.30	$7,007.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,180.94 / $3,357.54 / $5,518.04	Facility		$2,180.94	$3,357.54	$5,518.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,180.94 / $3,357.54 / $5,518.04	Professional		$2,180.94	$3,357.54	$5,518.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,459.80 / $3,357.54	Professional		$1,226.23	$1,459.80	$3,357.54