Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,199.29 / $5,412.00 / $13,209.00	Facility		$2,199.29	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.25 / $2,199.29 / $3,069.00	Professional		$1,887.25	$2,199.29	$3,069.00
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 $2,069.94 / $2,705.81 / $4,473.51	Professional		$2,069.94	$2,705.81	$4,473.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,552.32 / $2,552.32 / $17,559.00	Professional		$2,552.32	$2,552.32	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,586.94	Facility		$640.00	$640.00	$2,586.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,916.67 / $2,716.81 / $4,912.22	Professional		$1,916.67	$2,716.81	$4,912.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,141.13 / $2,770.88 / $3,274.67	Professional		$2,141.13	$2,770.88	$3,274.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,188.69 / $2,650.88 / $3,879.04	Facility		$2,188.69	$2,650.88	$3,879.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,544.00 / $2,946.08 / $4,168.00	Professional		$2,544.00	$2,946.08	$4,168.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,879.66 / $2,695.26 / $7,622.83	Facility		$1,879.66	$2,695.26	$7,622.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,879.66 / $2,695.26 / $7,622.83	Professional		$1,879.66	$2,695.26	$7,622.83
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 $1,638.43 / $2,494.12 / $4,253.28	Professional		$1,638.43	$2,494.12	$4,253.28