Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,208.12 / $7,170.00 / $14,796.00	Facility		$2,208.12	$7,170.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,877.15 / $2,179.65 / $2,787.14	Professional		$1,877.15	$2,179.65	$2,787.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,213.08 / $54,001.38 / $75,212.97	Facility		$35,213.08	$54,001.38	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,820.30 / $2,355.25 / $3,893.93	Professional		$1,820.30	$2,355.25	$3,893.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,468.90 / $2,468.90 / $15,704.00	Professional		$2,468.90	$2,468.90	$15,704.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,248.63	Facility		$640.00	$640.00	$2,248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,896.88 / $2,393.86 / $4,258.42	Professional		$1,896.88	$2,393.86	$4,258.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,866.48 / $2,415.44 / $2,854.62	Professional		$1,866.48	$2,415.44	$2,854.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,002.27 / $2,571.84 / $3,791.00	Facility		$2,002.27	$2,571.84	$3,791.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,408.00 / $2,727.00 / $3,743.00	Professional		$2,408.00	$2,727.00	$3,743.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,862.20 / $2,458.10 / $7,420.00	Facility		$1,862.20	$2,458.10	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,862.20 / $2,458.10 / $7,420.00	Professional		$1,862.20	$2,458.10	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $25,197.00 / $42,546.00	Facility		$7,621.00	$25,197.00	$42,546.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,448.62 / $2,365.09 / $3,658.88	Professional		$1,448.62	$2,365.09	$3,658.88