Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $10,000.00	Facility		$2,818.38	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $5,128.61	Professional		$2,290.87	$2,818.38	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,890.45 / $6,760.83	Professional		$2,630.27	$3,890.45	$6,760.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $12,022.64	Professional		$2,818.38	$4,168.69	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $5,754.40	Professional		$2,511.89	$3,235.94	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,548.13	Professional		$2,344.23	$2,951.21	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $6,309.57	Professional		$3,548.13	$4,365.16	$6,309.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $5,248.07	Facility		$2,398.83	$3,388.44	$5,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $10,232.93	Facility		$2,344.23	$3,235.94	$10,232.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $10,232.93	Professional		$2,344.23	$3,235.94	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $5,495.41	Professional		$1,995.26	$3,090.30	$5,495.41