Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,334.16 / $5,048.00 / $9,539.00	Facility		$2,334.16	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,989.01 / $2,119.76 / $2,734.28	Professional		$1,989.01	$2,119.76	$2,734.28
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 $1,894.97 / $2,423.23 / $4,006.34	Professional		$1,894.97	$2,423.23	$4,006.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,413.44 / $2,452.71 / $9,951.00	Professional		$2,413.44	$2,452.71	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,326.54	Facility		$640.00	$640.00	$2,326.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,944.40 / $4,529.83	Professional		$2,020.78	$2,944.40	$4,529.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,946.88 / $2,492.01 / $2,924.75	Professional		$1,946.88	$2,492.01	$2,924.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,119.76 / $2,788.82 / $4,459.10	Facility		$2,119.76	$2,788.82	$4,459.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,451.00 / $3,048.33 / $4,144.00	Professional		$2,451.00	$3,048.33	$4,144.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,032.22 / $2,867.25 / $7,727.49	Facility		$2,032.22	$2,867.25	$7,727.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,032.22 / $2,867.25 / $7,727.49	Professional		$2,032.22	$2,867.25	$7,727.49
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,723.06 / $2,875.50 / $4,530.96	Professional		$1,723.06	$2,875.50	$4,530.96