Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,939.86 / $5,412.00 / $11,024.00	Facility		$2,939.86	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,502.32 / $2,659.19 / $3,445.49	Professional		$2,502.32	$2,659.19	$3,445.49
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 $2,380.54 / $3,044.18 / $5,032.93	Professional		$2,380.54	$3,044.18	$5,032.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,804.89 / $3,018.35 / $7,889.00	Professional		$2,804.89	$3,018.35	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,934.56	Facility		$640.00	$640.00	$2,934.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,508.01 / $3,474.38 / $5,677.45	Professional		$2,508.01	$3,474.38	$5,677.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,446.84 / $3,131.96 / $3,635.42	Professional		$2,446.84	$3,131.96	$3,635.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,659.19 / $3,478.43 / $5,379.94	Facility		$2,659.19	$3,478.43	$5,379.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,289.00 / $3,722.00 / $5,026.00	Professional		$3,289.00	$3,722.00	$5,026.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,516.94 / $3,402.84 / $6,585.00	Facility		$2,516.94	$3,402.84	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,516.94 / $3,402.84 / $6,585.00	Professional		$2,516.94	$3,402.84	$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 $2,153.54 / $3,435.23 / $5,358.77	Professional		$2,153.54	$3,435.23	$5,358.77