Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,783.68 / $5,048.00 / $9,539.00	Facility		$2,783.68	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.44 / $2,524.81 / $3,208.25	Professional		$2,015.44	$2,524.81	$3,208.25
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 $2,203.31 / $2,850.82 / $4,713.26	Professional		$2,203.31	$2,850.82	$4,713.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $2,265.85 / $4,282.46	Professional		$916.00	$2,265.85	$4,282.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,718.09	Facility		$640.00	$640.00	$2,718.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,207.67 / $2,917.56 / $5,406.11	Professional		$2,207.67	$2,917.56	$5,406.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,299.28 / $2,943.08 / $3,462.85	Professional		$2,299.28	$2,943.08	$3,462.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,377.96 / $3,177.75 / $4,650.89	Facility		$2,377.96	$3,177.75	$4,650.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,643.00 / $3,327.21 / $4,587.00	Professional		$2,643.00	$3,327.21	$4,587.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,132.19 / $2,918.97 / $6,585.00	Facility		$2,132.19	$2,918.97	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,132.19 / $2,918.97 / $6,585.00	Professional		$2,132.19	$2,918.97	$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 $1,825.70 / $2,934.51 / $4,756.25	Professional		$1,825.70	$2,934.51	$4,756.25