Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,267.66 / $3,267.66 / $3,615.87	Facility		$3,267.66	$3,267.66	$3,615.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $3,267.66 / $3,615.87	Professional		$961.45	$3,267.66	$3,615.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.34 / $1,604.39 / $2,652.53	Professional		$1,227.34	$1,604.39	$2,652.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,738.25 / $1,931.39 / $3,650.33	Professional		$1,738.25	$1,931.39	$3,650.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $5,181.37	Facility		$640.00	$640.00	$5,181.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,111.95 / $4,500.41 / $7,747.70	Professional		$3,111.95	$4,500.41	$7,747.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,890.56 / $6,258.02 / $7,238.03	Professional		$4,890.56	$6,258.02	$7,238.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,003.39 / $3,823.16 / $5,785.39	Facility		$3,003.39	$3,823.16	$5,785.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $788.00 / $4,619.28 / $7,236.87	Professional		$788.00	$4,619.28	$7,236.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,024.54 / $4,749.96 / $9,929.00	Facility		$3,024.54	$4,749.96	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,024.54 / $4,749.96 / $9,929.00	Professional		$3,024.54	$4,749.96	$9,929.00
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 $1,397.58 / $2,475.10 / $5,304.96	Professional		$1,397.58	$2,475.10	$5,304.96