Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,025.60 / $7,762.47	Facility		$2,344.23	$6,025.60	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $2,951.21	Professional		$2,089.30	$2,511.89	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $16,595.87 / $19,498.45	Facility		$12,589.25	$16,595.87	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $870.96	Professional		$501.19	$501.19	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $2,884.03	Professional		$2,454.71	$2,570.40	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,762.47 / $16,218.10	Facility		$3,235.94	$7,762.47	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,570.88	Professional		$3,890.45	$3,890.45	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $4,466.84	Professional		$3,162.28	$3,467.37	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $4,897.79	Facility		$2,344.23	$3,019.95	$4,897.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $6,606.93	Facility		$2,344.23	$3,630.78	$6,606.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $6,606.93	Professional		$2,344.23	$3,630.78	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $3,801.89	Facility		$1,905.46	$3,162.28	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,630.78	Professional		$1,318.26	$1,584.89	$3,630.78