Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,324.83 / $5,412.00 / $13,209.00	Facility		$2,324.83	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.07 / $2,174.86 / $2,810.05	Professional		$1,697.07	$2,174.86	$2,810.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,976.00 / $37,782.72 / $52,623.67	Facility		$13,976.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,911.27 / $2,475.11 / $4,092.09	Professional		$1,911.27	$2,475.11	$4,092.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,595.78 / $2,595.78 / $11,336.00	Professional		$2,595.78	$2,595.78	$11,336.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,368.37	Facility		$640.00	$640.00	$2,368.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.38 / $2,508.11 / $4,501.76	Professional		$1,903.38	$2,508.11	$4,501.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,956.16 / $2,531.50 / $2,991.77	Professional		$1,956.16	$2,531.50	$2,991.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,108.96 / $2,627.06 / $3,933.08	Facility		$2,108.96	$2,627.06	$3,933.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,462.00 / $2,779.51 / $3,824.00	Professional		$2,462.00	$2,779.51	$3,824.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,882.48 / $2,505.81 / $7,795.93	Facility		$1,882.48	$2,505.81	$7,795.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,882.48 / $2,505.81 / $7,795.93	Professional		$1,882.48	$2,505.81	$7,795.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.29 / $2,385.17 / $3,990.30	Professional		$1,520.29	$2,385.17	$3,990.30