Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.98 / $5,764.30 / $13,666.52	Facility		$1,987.98	$5,764.30	$13,666.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.03 / $1,798.14 / $2,245.91	Professional		$1,530.03	$1,798.14	$2,245.91
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 $1,540.55 / $1,993.30 / $3,295.52	Professional		$1,540.55	$1,993.30	$3,295.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,897.25 / $1,985.95 / $7,889.00	Professional		$1,897.25	$1,985.95	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,910.77	Facility		$640.00	$640.00	$1,910.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.52 / $2,148.85 / $3,770.04	Professional		$1,572.52	$2,148.85	$3,770.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,622.34 / $2,076.60 / $2,408.87	Professional		$1,622.34	$2,076.60	$2,408.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,689.78 / $2,246.42 / $3,379.57	Facility		$1,689.78	$2,246.42	$3,379.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,085.00 / $2,352.00 / $3,424.00	Professional		$2,085.00	$2,352.00	$3,424.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,536.61 / $2,109.04 / $6,585.00	Facility		$1,536.61	$2,109.04	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,536.61 / $2,109.04 / $6,585.00	Professional		$1,536.61	$2,109.04	$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 $1,292.42 / $2,001.44 / $3,404.33	Professional		$1,292.42	$2,001.44	$3,404.33