Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,685.51 / $2,685.51 / $7,820.47	Facility		$2,685.51	$2,685.51	$7,820.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,369.57 / $2,685.51 / $2,685.51	Professional		$2,369.57	$2,685.51	$2,685.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,999.48 / $15,386.38 / $19,430.43	Facility		$11,999.48	$15,386.38	$19,430.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $834.70	Professional		$500.00	$500.00	$834.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,527.54 / $2,527.54 / $4,928.70	Professional		$2,527.54	$2,527.54	$4,928.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,053.62 / $6,964.45 / $16,185.66	Facility		$2,053.62	$6,964.45	$16,185.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,848.09 / $3,848.09 / $4,610.43	Professional		$3,848.09	$3,848.09	$4,610.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,791.30 / $4,675.93	Professional		$3,159.42	$3,791.30	$4,675.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,369.57 / $3,159.42 / $5,371.02	Facility		$2,369.57	$3,159.42	$5,371.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,728.00 / $5,528.99 / $7,582.61	Professional		$3,728.00	$5,528.99	$7,582.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,360.09 / $3,633.33 / $5,865.78	Facility		$2,360.09	$3,633.33	$5,865.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,360.09 / $3,633.33 / $5,865.78	Professional		$2,360.09	$3,633.33	$5,865.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.65 / $3,159.42 / $3,791.30	Facility		$1,895.65	$3,159.42	$3,791.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,579.71 / $3,633.33	Professional		$1,326.96	$1,579.71	$3,633.33