Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,054.55 / $5,412.00 / $11,024.00	Facility		$2,054.55	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.78 / $2,054.55 / $2,405.26	Professional		$1,784.78	$2,054.55	$2,405.26
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 $1,665.70 / $2,130.06 / $3,521.62	Professional		$1,665.70	$2,130.06	$3,521.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,117.64 / $2,173.09 / $7,889.00	Professional		$2,117.64	$2,173.09	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,047.39	Facility		$640.00	$640.00	$2,047.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,773.15 / $2,439.08 / $3,964.41	Professional		$1,773.15	$2,439.08	$3,964.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,710.74 / $2,189.75 / $2,547.27	Professional		$1,710.74	$2,189.75	$2,547.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,866.47 / $2,521.48 / $3,759.83	Facility		$1,866.47	$2,521.48	$3,759.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,473.00 / $2,767.82 / $3,654.00	Professional		$2,473.00	$2,767.82	$3,654.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,802.86 / $2,485.13 / $6,585.00	Facility		$1,802.86	$2,485.13	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,802.86 / $2,485.13 / $6,585.00	Professional		$1,802.86	$2,485.13	$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 $1,487.58 / $2,324.35 / $3,578.37	Professional		$1,487.58	$2,324.35	$3,578.37