Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,330.25 / $5,048.00 / $9,539.00	Facility		$2,330.25	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.69 / $2,142.79 / $2,729.70	Professional		$1,987.69	$2,142.79	$2,729.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,891.28 / $2,418.52 / $3,998.53	Professional		$1,891.28	$2,418.52	$3,998.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,408.73 / $2,408.73 / $9,951.00	Professional		$2,408.73	$2,408.73	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,322.34	Facility		$640.00	$640.00	$2,322.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,008.24 / $2,917.48 / $4,522.20	Professional		$2,008.24	$2,917.48	$4,522.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,942.75 / $2,486.71 / $2,918.24	Professional		$1,942.75	$2,486.71	$2,918.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,122.57 / $2,827.33 / $4,264.35	Facility		$2,122.57	$2,827.33	$4,264.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,635.00 / $3,042.80 / $3,873.00	Professional		$2,635.00	$3,042.80	$3,873.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,028.53 / $2,809.15 / $7,714.54	Facility		$2,028.53	$2,809.15	$7,714.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,028.53 / $2,809.15 / $7,714.54	Professional		$2,028.53	$2,809.15	$7,714.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.89 / $2,691.99 / $4,058.56	Professional		$1,696.89	$2,691.99	$4,058.56