Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,345.11 / $5,627.71 / $13,209.00	Facility		$2,345.11	$5,627.71	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,910.24 / $2,151.67 / $2,801.40	Professional		$1,910.24	$2,151.67	$2,801.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39,034.68 / $59,532.68 / $105,931.00	Facility		$39,034.68	$59,532.68	$105,931.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,851.02 / $2,367.04 / $3,913.42	Professional		$1,851.02	$2,367.04	$3,913.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,529.05 / $2,529.05 / $19,314.00	Professional		$2,529.05	$2,529.05	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,274.10	Facility		$640.00	$640.00	$2,274.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.57 / $2,607.96 / $4,500.63	Professional		$1,949.57	$2,607.96	$4,500.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,902.02 / $2,434.59 / $2,856.22	Professional		$1,902.02	$2,434.59	$2,856.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,068.92 / $2,700.30 / $3,986.69	Facility		$2,068.92	$2,700.30	$3,986.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,564.00 / $2,842.03 / $3,910.00	Professional		$2,564.00	$2,842.03	$3,910.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,913.66 / $2,612.17 / $7,420.00	Facility		$1,913.66	$2,612.17	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,913.66 / $2,612.17 / $7,420.00	Professional		$1,913.66	$2,612.17	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,583.24 / $2,477.62 / $3,937.50	Professional		$1,583.24	$2,477.62	$3,937.50