Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.45 / $5,412.00 / $14,623.02	Facility		$1,880.45	$5,412.00	$14,623.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.11 / $1,668.28 / $2,410.66	Professional		$1,486.11	$1,668.28	$2,410.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.92 / $1,895.05 / $3,133.08	Professional		$1,481.92	$1,895.05	$3,133.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,889.48 / $2,054.66 / $7,889.00	Professional		$1,889.48	$2,054.66	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,815.11	Facility		$640.00	$640.00	$1,815.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.60 / $2,088.28 / $3,577.04	Professional		$1,521.60	$2,088.28	$3,577.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,542.95 / $1,974.98 / $2,292.80	Professional		$1,542.95	$1,974.98	$2,292.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,612.00 / $2,165.53 / $3,196.77	Facility		$1,612.00	$2,165.53	$3,196.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,025.00 / $2,344.00 / $3,136.00	Professional		$2,025.00	$2,344.00	$3,136.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,535.19 / $2,083.78 / $6,585.00	Facility		$1,535.19	$2,083.78	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,535.19 / $2,083.78 / $6,585.00	Professional		$1,535.19	$2,083.78	$6,585.00
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 $1,258.33 / $1,979.92 / $3,093.61	Professional		$1,258.33	$1,979.92	$3,093.61