Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,537.20 / $5,589.00 / $11,024.00	Facility		$3,537.20	$5,589.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,779.42 / $3,537.20 / $4,523.59	Professional		$2,779.42	$3,537.20	$4,523.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,102.37 / $4,014.10 / $6,636.51	Professional		$3,102.37	$4,014.10	$6,636.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,287.69 / $3,912.35 / $9,951.00	Professional		$3,287.69	$3,912.35	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,837.41	Facility		$640.00	$640.00	$3,837.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,093.12 / $4,004.48 / $7,457.64	Professional		$3,093.12	$4,004.48	$7,457.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,215.07 / $4,115.29 / $4,843.53	Professional		$3,215.07	$4,115.29	$4,843.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,341.99 / $4,310.26 / $6,361.97	Facility		$3,341.99	$4,310.26	$6,361.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,855.00 / $4,394.00 / $6,328.00	Professional		$3,855.00	$4,394.00	$6,328.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,913.21 / $4,045.01 / $8,398.25	Facility		$2,913.21	$4,045.01	$8,398.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,913.21 / $4,045.01 / $8,398.25	Professional		$2,913.21	$4,045.01	$8,398.25
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 $2,481.56 / $4,039.69 / $6,566.86	Professional		$2,481.56	$4,039.69	$6,566.86