Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,862.61 / $5,412.00 / $11,425.00	Facility		$2,862.61	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,282.52 / $2,620.19 / $3,348.49	Professional		$2,282.52	$2,620.19	$3,348.49
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 $2,263.85 / $2,959.29 / $4,892.59	Professional		$2,263.85	$2,959.29	$4,892.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,901.65 / $2,940.49 / $9,951.00	Professional		$2,901.65	$2,940.49	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,847.41	Facility		$640.00	$640.00	$2,847.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.49 / $2,975.50 / $5,562.91	Professional		$1,869.49	$2,975.50	$5,562.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,376.19 / $3,041.52 / $3,564.37	Professional		$2,376.19	$3,041.52	$3,564.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,124.00 / $3,034.37 / $4,689.99	Facility		$2,124.00	$3,034.37	$4,689.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,393.00 / $3,357.00 / $4,908.00	Professional		$2,393.00	$3,357.00	$4,908.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,778.18 / $3,048.51 / $7,902.00	Facility		$1,778.18	$3,048.51	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,778.18 / $3,048.51 / $7,902.00	Professional		$1,778.18	$3,048.51	$7,902.00
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 $1,465.22 / $2,632.97 / $4,709.68	Professional		$1,465.22	$2,632.97	$4,709.68