Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,704.62 / $5,087.00 / $8,920.00	Facility		$2,704.62	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,070.67 / $2,429.94 / $2,808.89	Professional		$2,070.67	$2,429.94	$2,808.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,677.10 / $2,082.67 / $2,938.54	Professional		$1,677.10	$2,082.67	$2,938.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,222.38 / $3,222.38 / $13,882.00	Professional		$3,222.38	$3,222.38	$13,882.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,683.51 / $2,683.51 / $2,683.51	Facility		$2,683.51	$2,683.51	$2,683.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.55 / $2,734.53 / $4,837.45	Professional		$2,089.55	$2,734.53	$4,837.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,480.62 / $2,754.46 / $3,279.12	Professional		$2,480.62	$2,754.46	$3,279.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,099.87 / $2,704.62 / $3,644.93	Facility		$2,099.87	$2,704.62	$3,644.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,978.00 / $3,547.02 / $5,550.05	Professional		$1,978.00	$3,547.02	$5,550.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,139.11 / $2,944.89 / $9,929.00	Facility		$2,139.11	$2,944.89	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,139.11 / $2,944.89 / $9,929.00	Professional		$2,139.11	$2,944.89	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.40 / $2,456.55 / $4,274.39	Professional		$1,752.40	$2,456.55	$4,274.39