Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,573.69 / $5,048.00 / $9,539.00	Facility		$2,573.69	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.72 / $2,338.21 / $2,965.27	Professional		$1,761.72	$2,338.21	$2,965.27
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 $2,038.68 / $2,637.82 / $4,361.10	Professional		$2,038.68	$2,637.82	$4,361.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $974.00 / $2,016.66 / $3,811.49	Professional		$974.00	$2,016.66	$3,811.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,513.88	Facility		$640.00	$640.00	$2,513.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.12 / $2,591.65 / $4,999.50	Professional		$1,915.12	$2,591.65	$4,999.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,127.13 / $2,722.73 / $3,205.64	Professional		$2,127.13	$2,722.73	$3,205.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,174.09 / $2,833.22 / $4,304.32	Facility		$2,174.09	$2,833.22	$4,304.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,441.00 / $2,893.00 / $4,242.00	Professional		$2,441.00	$2,893.00	$4,242.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,904.60 / $2,643.00 / $6,585.00	Facility		$1,904.60	$2,643.00	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,904.60 / $2,643.00 / $6,585.00	Professional		$1,904.60	$2,643.00	$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 $1,641.49 / $2,590.33 / $4,385.33	Professional		$1,641.49	$2,590.33	$4,385.33