Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,441.01 / $5,412.00 / $13,209.00	Facility		$2,441.01	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,006.71 / $2,260.38 / $3,080.86	Professional		$2,006.71	$2,260.38	$3,080.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,976.00 / $54,001.38 / $75,212.97	Facility		$13,976.00	$54,001.38	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,979.48 / $2,531.31 / $4,185.01	Professional		$1,979.48	$2,531.31	$4,185.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,480.96 / $2,515.55 / $19,314.00	Professional		$2,480.96	$2,515.55	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,435.28	Facility		$640.00	$640.00	$2,435.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,099.48 / $2,837.15 / $4,755.52	Professional		$2,099.48	$2,837.15	$4,755.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,033.05 / $2,602.30 / $3,050.09	Professional		$2,033.05	$2,602.30	$3,050.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,209.98 / $2,900.57 / $4,282.28	Facility		$2,209.98	$2,900.57	$4,282.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,747.00 / $3,090.00 / $4,257.00	Professional		$2,747.00	$3,090.00	$4,257.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,042.35 / $2,837.15 / $8,134.74	Facility		$2,042.35	$2,837.15	$8,134.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,042.35 / $2,837.15 / $8,134.74	Professional		$2,042.35	$2,837.15	$8,134.74
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 $1,728.50 / $2,715.51 / $4,274.66	Professional		$1,728.50	$2,715.51	$4,274.66