Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,204.26 / $5,708.00 / $11,425.00	Facility		$3,204.26	$5,708.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,550.40 / $2,949.38 / $3,734.81	Professional		$2,550.40	$2,949.38	$3,734.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,523.61 / $3,298.84 / $5,453.97	Professional		$2,523.61	$3,298.84	$5,453.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,235.89 / $3,275.98 / $17,559.00	Professional		$3,235.89	$3,275.98	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,176.17	Facility		$640.00	$640.00	$3,176.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,647.99 / $3,460.83 / $6,207.80	Professional		$2,647.99	$3,460.83	$6,207.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,647.99 / $3,389.43 / $3,970.51	Professional		$2,647.99	$3,389.43	$3,970.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,844.00 / $3,654.38 / $5,234.59	Facility		$2,844.00	$3,654.38	$5,234.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,523.00 / $3,956.00 / $5,474.00	Professional		$3,523.00	$3,956.00	$5,474.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,609.14 / $3,536.00 / $7,902.00	Facility		$2,609.14	$3,536.00	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,609.14 / $3,536.00 / $7,902.00	Professional		$2,609.14	$3,536.00	$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 $2,175.90 / $3,342.06 / $5,591.21	Professional		$2,175.90	$3,342.06	$5,591.21