Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.78 / $5,412.00 / $11,024.00	Facility		$1,961.78	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.35 / $1,792.93 / $2,459.13	Professional		$1,547.35	$1,792.93	$2,459.13
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 $1,593.79 / $2,038.10 / $3,369.59	Professional		$1,593.79	$2,038.10	$3,369.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,038.79 / $2,038.79 / $7,889.00	Professional		$2,038.79	$2,038.79	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,952.89	Facility		$640.00	$640.00	$1,952.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,686.34 / $2,176.19 / $3,838.27	Professional		$1,686.34	$2,176.19	$3,838.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,645.21 / $2,105.87 / $2,468.88	Professional		$1,645.21	$2,105.87	$2,468.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,779.49 / $2,281.46 / $3,281.06	Facility		$1,779.49	$2,281.46	$3,281.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,174.00 / $2,459.13 / $3,426.00	Professional		$2,174.00	$2,459.13	$3,426.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,614.98 / $2,193.08 / $6,585.00	Facility		$1,614.98	$2,193.08	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,614.98 / $2,193.08 / $6,585.00	Professional		$1,614.98	$2,193.08	$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 $1,346.74 / $2,160.37 / $3,344.48	Professional		$1,346.74	$2,160.37	$3,344.48