Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.90 / $5,301.00 / $14,796.00	Facility		$1,889.90	$5,301.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.04 / $1,728.49 / $2,896.21	Professional		$1,530.04	$1,728.49	$2,896.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,542.77 / $1,972.86 / $3,261.72	Professional		$1,542.77	$1,972.86	$3,261.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,844.25 / $1,966.43 / $15,406.00	Professional		$1,844.25	$1,966.43	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,889.38	Facility		$640.00	$640.00	$1,889.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.51 / $2,173.17 / $3,669.61	Professional		$1,626.51	$2,173.17	$3,669.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,586.84 / $2,031.16 / $2,388.11	Professional		$1,586.84	$2,031.16	$2,388.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,719.36 / $2,202.57 / $3,148.02	Facility		$1,719.36	$2,202.57	$3,148.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,056.00 / $2,357.61 / $3,114.00	Professional		$2,056.00	$2,357.61	$3,114.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,586.85 / $2,123.15 / $4,903.00	Facility		$1,586.85	$2,123.15	$4,903.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,586.85 / $2,123.15 / $4,903.00	Professional		$1,586.85	$2,123.15	$4,903.00
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 $1,321.12 / $2,076.04 / $3,216.28	Professional		$1,321.12	$2,076.04	$3,216.28