Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,188.44 / $2,188.44 / $6,372.99	Facility		$2,188.44	$2,188.44	$6,372.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,930.99 / $2,188.44 / $2,188.44	Professional		$1,930.99	$2,188.44	$2,188.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,778.52 / $12,538.55 / $15,834.10	Facility		$9,778.52	$12,538.55	$15,834.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $55.42	Professional		$33.20	$33.20	$55.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,059.71 / $2,059.71 / $4,016.45	Professional		$2,059.71	$2,059.71	$4,016.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,673.52 / $5,675.35 / $13,189.75	Facility		$1,673.52	$5,675.35	$13,189.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,135.82 / $3,135.82 / $3,757.07	Professional		$3,135.82	$3,135.82	$3,757.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $3,089.58 / $3,810.48	Professional		$2,574.65	$3,089.58	$3,810.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,930.99 / $2,574.65 / $4,376.89	Facility		$1,930.99	$2,574.65	$4,376.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,673.52 / $1,673.52 / $1,673.52	Professional		$1,673.52	$1,673.52	$1,673.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,923.26 / $2,960.85 / $4,780.10	Facility		$1,923.26	$2,960.85	$4,780.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,923.26 / $2,960.85 / $4,780.10	Professional		$1,923.26	$2,960.85	$4,780.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,338.82 / $3,347.05	Professional		$1,081.34	$1,338.82	$3,347.05