Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,150.54 / $5,048.00 / $9,539.00	Facility		$3,150.54	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,377.17 / $2,870.19 / $3,577.29	Professional		$2,377.17	$2,870.19	$3,577.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,976.00 / $54,001.38 / $75,212.97	Facility		$13,976.00	$54,001.38	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,531.58 / $3,278.41 / $5,420.19	Professional		$2,531.58	$3,278.41	$5,420.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,271.35 / $3,271.35 / $19,314.00	Professional		$3,271.35	$3,271.35	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,145.79	Facility		$640.00	$640.00	$3,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,618.14 / $3,317.78 / $6,120.92	Professional		$2,618.14	$3,317.78	$6,120.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,633.32 / $3,370.65 / $3,957.66	Professional		$2,633.32	$3,370.65	$3,957.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,729.38 / $3,513.06 / $5,239.49	Facility		$2,729.38	$3,513.06	$5,239.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,376.00 / $3,692.00 / $5,194.00	Professional		$3,376.00	$3,692.00	$5,194.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,426.73 / $3,423.33 / $9,442.03	Facility		$2,426.73	$3,423.33	$9,442.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,426.73 / $3,423.33 / $9,442.03	Professional		$2,426.73	$3,423.33	$9,442.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,086.76 / $3,287.84 / $5,299.81	Professional		$2,086.76	$3,287.84	$5,299.81