Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,008.21 / $5,412.00 / $11,024.00	Facility		$3,008.21	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,114.17 / $2,759.76 / $3,533.78	Professional		$2,114.17	$2,759.76	$3,533.78
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 $2,462.60 / $3,149.11 / $5,206.42	Professional		$2,462.60	$3,149.11	$5,206.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $2,329.60 / $4,402.93	Professional		$916.00	$2,329.60	$4,402.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,011.39	Facility		$640.00	$640.00	$3,011.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.44 / $3,345.74 / $5,838.07	Professional		$2,407.44	$3,345.74	$5,838.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,535.52 / $3,245.47 / $3,819.86	Professional		$2,535.52	$3,245.47	$3,819.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,625.60 / $3,449.36 / $5,017.25	Facility		$2,625.60	$3,449.36	$5,017.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,703.00 / $3,714.00 / $4,954.00	Professional		$2,703.00	$3,714.00	$4,954.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,481.19 / $3,302.68 / $7,902.00	Facility		$2,481.19	$3,302.68	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,481.19 / $3,302.68 / $7,902.00	Professional		$2,481.19	$3,302.68	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,053.73 / $3,194.60 / $5,102.45	Professional		$2,053.73	$3,194.60	$5,102.45