Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,331.85 / $5,412.00 / $11,425.00	Facility		$2,331.85	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.80 / $2,137.75 / $2,909.00	Professional		$1,857.80	$2,137.75	$2,909.00
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 $1,849.57 / $2,417.73 / $3,997.24	Professional		$1,849.57	$2,417.73	$3,997.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,365.75 / $2,405.52 / $17,559.00	Professional		$2,365.75	$2,405.52	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,322.98	Facility		$640.00	$640.00	$2,322.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.21 / $2,420.23 / $4,529.74	Professional		$1,256.21	$2,420.23	$4,529.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,942.94 / $2,486.96 / $2,917.68	Professional		$1,942.94	$2,486.96	$2,917.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,334.09 / $2,453.08 / $3,819.38	Facility		$1,334.09	$2,453.08	$3,819.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,508.00 / $2,708.00 / $4,002.00	Professional		$1,508.00	$2,708.00	$4,002.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,129.15 / $2,500.04 / $7,744.25	Facility		$1,129.15	$2,500.04	$7,744.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,129.15 / $2,500.04 / $7,744.25	Professional		$1,129.15	$2,500.04	$7,744.25
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 $993.58 / $1,997.16 / $3,834.98	Professional		$993.58	$1,997.16	$3,834.98