Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,045.81 / $4,897.18 / $9,539.00	Facility		$2,045.81	$4,897.18	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.74 / $1,888.77 / $2,417.55	Professional		$1,761.74	$1,888.77	$2,417.55
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 $1,679.54 / $2,147.75 / $3,550.87	Professional		$1,679.54	$2,147.75	$3,550.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,139.89 / $2,139.89 / $9,951.00	Professional		$2,139.89	$2,139.89	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,057.66	Facility		$640.00	$640.00	$2,057.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.58 / $2,610.67 / $3,995.96	Professional		$1,787.58	$2,610.67	$3,995.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,727.19 / $2,210.80 / $2,598.66	Professional		$1,727.19	$2,210.80	$2,598.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,882.32 / $2,491.02 / $4,004.19	Facility		$1,882.32	$2,491.02	$4,004.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,298.00 / $2,701.31 / $3,641.00	Professional		$2,298.00	$2,701.31	$3,641.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,800.87 / $2,515.89 / $7,420.00	Facility		$1,800.87	$2,515.89	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,800.87 / $2,515.89 / $7,420.00	Professional		$1,800.87	$2,515.89	$7,420.00
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 $1,499.42 / $2,386.76 / $3,993.40	Professional		$1,499.42	$2,386.76	$3,993.40