Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,928.82 / $5,388.00 / $11,024.00	Facility		$2,928.82	$5,388.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,594.40 / $3,067.11 / $3,782.52	Professional		$2,594.40	$3,067.11	$3,782.52
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 $2,619.94 / $3,350.33 / $5,539.10	Professional		$2,619.94	$3,350.33	$5,539.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $3,021.75 / $5,036.00	Professional		$916.00	$3,021.75	$5,036.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,218.75	Facility		$640.00	$640.00	$3,218.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,757.34 / $3,683.53 / $6,274.44	Professional		$2,757.34	$3,683.53	$6,274.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,692.19 / $3,446.00 / $4,042.88	Professional		$2,692.19	$3,446.00	$4,042.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,928.82 / $3,764.92 / $5,483.04	Facility		$2,928.82	$3,764.92	$5,483.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,594.00 / $4,034.00 / $5,324.00	Professional		$3,594.00	$4,034.00	$5,324.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,703.95 / $3,641.63 / $7,902.00	Facility		$2,703.95	$3,641.63	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,703.95 / $3,641.63 / $7,902.00	Professional		$2,703.95	$3,641.63	$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 $2,311.10 / $3,404.69 / $5,462.60	Professional		$2,311.10	$3,404.69	$5,462.60