Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,495.41 / $10,000.00	Facility		$3,235.94	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $6,309.57	Professional		$2,884.03	$3,388.44	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $8,128.31	Professional		$3,235.94	$4,677.35	$8,128.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $3,715.35 / $5,011.87	Professional		$794.33	$3,715.35	$5,011.87
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 $3,019.95 / $3,981.07 / $6,918.31	Professional		$3,019.95	$3,981.07	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,265.80	Professional		$2,884.03	$3,630.78	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $7,585.78	Professional		$4,466.84	$5,623.41	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $6,456.54	Facility		$3,019.95	$4,168.69	$6,456.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $10,715.19	Facility		$2,884.03	$3,981.07	$10,715.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $10,715.19	Professional		$2,884.03	$3,981.07	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $6,606.93	Professional		$2,454.71	$3,801.89	$6,606.93