Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,210.33 / $5,412.00 / $11,024.00	Facility		$2,210.33	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.37 / $2,156.34 / $2,588.13	Professional		$1,880.37	$2,156.34	$2,588.13
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 $1,792.93 / $2,292.76 / $3,790.62	Professional		$1,792.93	$2,292.76	$3,790.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,279.13 / $2,560.94 / $7,889.00	Professional		$2,279.13	$2,560.94	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,204.04	Facility		$640.00	$640.00	$2,204.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,920.38 / $2,612.21 / $4,265.77	Professional		$1,920.38	$2,612.21	$4,265.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,842.27 / $2,358.11 / $2,743.05	Professional		$1,842.27	$2,358.11	$2,743.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,007.87 / $2,622.66 / $4,044.90	Facility		$2,007.87	$2,622.66	$4,044.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,362.00 / $2,854.18 / $3,927.00	Professional		$2,362.00	$2,854.18	$3,927.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,939.79 / $2,634.46 / $6,585.00	Facility		$1,939.79	$2,634.46	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,939.79 / $2,634.46 / $6,585.00	Professional		$1,939.79	$2,634.46	$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 $1,582.53 / $2,401.00 / $3,881.61	Professional		$1,582.53	$2,401.00	$3,881.61