Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,786.30 / $12,882.50	Facility		$2,137.96	$4,786.30	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,466.84	Professional		$1,778.28	$2,344.23	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $5,754.40	Professional		$2,290.87	$3,388.44	$5,754.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $22,387.21	Professional		$2,398.83	$3,548.13	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $5,011.87	Professional		$1,949.84	$2,570.40	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,235.94	Professional		$2,137.96	$2,691.53	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $5,370.32	Professional		$2,511.89	$3,162.28	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $4,365.16	Facility		$2,137.96	$2,691.53	$4,365.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $10,964.78	Facility		$1,862.09	$2,691.53	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $10,964.78	Professional		$1,862.09	$2,691.53	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $18,197.01 / $40,738.03	Facility		$10,471.29	$18,197.01	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,365.16	Professional		$1,548.82	$2,344.23	$4,365.16