Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,495.60 / $5,587.00 / $11,425.00	Facility		$2,495.60	$5,587.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.22 / $2,285.08 / $3,123.19	Professional		$2,001.22	$2,285.08	$3,123.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,028.65 / $2,594.19 / $4,288.97	Professional		$2,028.65	$2,594.19	$4,288.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,586.60 / $2,617.98 / $12,325.00	Professional		$2,586.60	$2,617.98	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,486.26	Facility		$640.00	$640.00	$2,486.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.67 / $2,772.74 / $4,893.00	Professional		$2,140.67	$2,772.74	$4,893.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,088.46 / $2,673.23 / $3,133.04	Professional		$2,088.46	$2,673.23	$3,133.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,285.08 / $2,919.85 / $4,566.95	Facility		$2,285.08	$2,919.85	$4,566.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $3,125.00 / $4,494.80	Professional		$2,650.00	$3,125.00	$4,494.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,067.23 / $2,783.92 / $6,585.00	Facility		$2,067.23	$2,783.92	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,067.23 / $2,783.92 / $6,585.00	Professional		$2,067.23	$2,783.92	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,000.00 / $21,639.00	Facility		$6,398.00	$10,000.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,721.27 / $2,610.58 / $4,263.09	Professional		$1,721.27	$2,610.58	$4,263.09