Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,151.84 / $5,412.00 / $13,209.00	Facility		$2,151.84	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.02 / $2,194.19 / $3,226.00	Professional		$1,949.02	$2,194.19	$3,226.00
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 $2,140.69 / $2,772.22 / $4,583.31	Professional		$2,140.69	$2,772.22	$4,583.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,685.39 / $2,685.39 / $19,314.00	Professional		$2,685.39	$2,685.39	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,651.02	Facility		$640.00	$640.00	$2,651.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,928.43 / $2,653.34 / $5,034.14	Professional		$1,928.43	$2,653.34	$5,034.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,192.04 / $2,836.76 / $3,352.53	Professional		$2,192.04	$2,836.76	$3,352.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,151.84 / $2,620.90 / $3,899.09	Facility		$2,151.84	$2,620.90	$3,899.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,656.79 / $2,963.00 / $4,272.00	Professional		$2,656.79	$2,963.00	$4,272.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,928.26 / $2,718.44 / $8,700.71	Facility		$1,928.26	$2,718.44	$8,700.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,928.26 / $2,718.44 / $8,700.71	Professional		$1,928.26	$2,718.44	$8,700.71
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 $1,652.86 / $2,512.98 / $4,321.45	Professional		$1,652.86	$2,512.98	$4,321.45