Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.81 / $5,388.00 / $9,975.00	Facility		$2,002.81	$5,388.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,541.25 / $1,802.98 / $2,004.20	Professional		$1,541.25	$1,802.98	$2,004.20
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 $1,602.13 / $2,079.21 / $2,872.33	Professional		$1,602.13	$2,079.21	$2,872.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,739.61 / $1,739.61 / $7,369.00	Professional		$1,739.61	$1,739.61	$7,369.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.44 / $2,001.44 / $2,001.44	Facility		$2,001.44	$2,001.44	$2,001.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,679.01 / $1,986.55 / $3,529.88	Professional		$1,679.01	$1,986.55	$3,529.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,857.87 / $2,053.42 / $2,444.56	Professional		$1,857.87	$2,053.42	$2,444.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,581.24 / $2,002.81 / $2,759.18	Facility		$1,581.24	$2,002.81	$2,759.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,986.00 / $2,282.96 / $3,951.00	Professional		$1,986.00	$2,282.96	$3,951.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,691.08 / $2,176.94 / $8,077.00	Facility		$1,691.08	$2,176.94	$8,077.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,691.08 / $2,176.94 / $8,077.00	Professional		$1,691.08	$2,176.94	$8,077.00
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 $1,362.64 / $1,861.14 / $3,221.45	Professional		$1,362.64	$1,861.14	$3,221.45