Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.46 / $5,412.00 / $11,024.00	Facility		$2,303.46	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.07 / $2,098.03 / $2,652.55	Professional		$1,686.07	$2,098.03	$2,652.55
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 $1,826.67 / $2,363.50 / $3,907.57	Professional		$1,826.67	$2,363.50	$3,907.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,035.60 / $2,279.87 / $7,889.00	Professional		$2,035.60	$2,279.87	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,252.73	Facility		$640.00	$640.00	$2,252.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.65 / $2,434.12 / $4,472.34	Professional		$1,798.65	$2,434.12	$4,472.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,906.58 / $2,440.42 / $2,876.84	Professional		$1,906.58	$2,440.42	$2,876.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,957.95 / $2,652.63 / $3,858.37	Facility		$1,957.95	$2,652.63	$3,858.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,181.00 / $2,758.66 / $3,795.00	Professional		$2,181.00	$2,758.66	$3,795.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,749.96 / $2,418.50 / $6,585.00	Facility		$1,749.96	$2,418.50	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,749.96 / $2,418.50 / $6,585.00	Professional		$1,749.96	$2,418.50	$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 $1,509.05 / $2,433.94 / $3,872.39	Professional		$1,509.05	$2,433.94	$3,872.39