Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,386.48 / $5,412.00 / $11,024.00	Facility		$2,386.48	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,830.74 / $2,182.71 / $2,807.14	Professional		$1,830.74	$2,182.71	$2,807.14
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 $1,941.99 / $2,483.37 / $4,105.75	Professional		$1,941.99	$2,483.37	$4,105.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,225.13 / $2,473.87 / $7,889.00	Professional		$2,225.13	$2,473.87	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,382.40	Facility		$640.00	$640.00	$2,382.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,002.57 / $2,640.35 / $4,687.66	Professional		$2,002.57	$2,640.35	$4,687.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,002.57 / $2,563.29 / $3,002.43	Professional		$2,002.57	$2,563.29	$3,002.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,171.91 / $2,781.43 / $4,057.02	Facility		$2,171.91	$2,781.43	$4,057.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,473.00 / $2,931.00 / $4,053.65	Professional		$2,473.00	$2,931.00	$4,053.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,967.03 / $2,609.35 / $6,585.00	Facility		$1,967.03	$2,609.35	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,967.03 / $2,609.35 / $6,585.00	Professional		$1,967.03	$2,609.35	$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 $1,649.03 / $2,511.16 / $4,172.17	Professional		$1,649.03	$2,511.16	$4,172.17