Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,473.14 / $5,636.00 / $13,209.00	Facility		$2,473.14	$5,636.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,013.71 / $2,473.14 / $3,135.77	Professional		$2,013.71	$2,473.14	$3,135.77
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 $2,028.65 / $2,594.19 / $4,288.97	Professional		$2,028.65	$2,594.19	$4,288.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,755.52 / $2,755.52 / $19,314.00	Professional		$2,755.52	$2,755.52	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,490.91	Facility		$640.00	$640.00	$2,490.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,136.83 / $2,853.33 / $4,850.85	Professional		$2,136.83	$2,853.33	$4,850.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,084.71 / $2,668.44 / $3,131.77	Professional		$2,084.71	$2,668.44	$3,131.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,268.48 / $2,925.73 / $4,261.53	Facility		$2,268.48	$2,925.73	$4,261.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $3,111.56 / $4,281.00	Professional		$2,754.00	$3,111.56	$4,281.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,094.01 / $2,885.81 / $8,280.40	Facility		$2,094.01	$2,885.81	$8,280.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,094.01 / $2,885.81 / $8,280.40	Professional		$2,094.01	$2,885.81	$8,280.40
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 $1,708.20 / $2,617.36 / $4,224.93	Professional		$1,708.20	$2,617.36	$4,224.93