Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,524.12 / $6,827.70 / $13,209.00	Facility		$2,524.12	$6,827.70	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.16 / $2,433.56 / $3,150.06	Professional		$1,821.16	$2,433.56	$3,150.06
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 $2,139.17 / $2,770.26 / $4,580.07	Professional		$2,139.17	$2,770.26	$4,580.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,411.40 / $2,411.40 / $15,704.00	Professional		$2,411.40	$2,411.40	$15,704.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,653.28	Facility		$640.00	$640.00	$2,653.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,056.06 / $2,676.48 / $5,047.37	Professional		$2,056.06	$2,676.48	$5,047.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,188.13 / $2,831.70 / $3,346.55	Professional		$2,188.13	$2,831.70	$3,346.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,342.50 / $2,890.63 / $4,328.72	Facility		$2,342.50	$2,890.63	$4,328.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,459.00 / $3,006.00 / $4,283.00	Professional		$2,459.00	$3,006.00	$4,283.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,056.06 / $2,757.44 / $8,739.21	Facility		$2,056.06	$2,757.44	$8,739.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,056.06 / $2,757.44 / $8,739.21	Professional		$2,056.06	$2,757.44	$8,739.21
United Facility/Professional Facility Modifier Low / Median / High Price $10,071.00 / $17,777.00 / $35,289.00	Facility		$10,071.00	$17,777.00	$35,289.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,680.61 / $2,661.04 / $4,615.01	Professional		$1,680.61	$2,661.04	$4,615.01