Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,623.41 / $14,791.08	Facility		$3,235.94	$5,623.41	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $10,000.00	Professional		$4,466.84	$5,370.32	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $19,054.61 / $26,302.68	Facility		$8,511.38	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,309.57 / $9,549.93	Professional		$4,570.88	$6,309.57	$9,549.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $7,079.46	Professional		$4,677.35	$5,248.07	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,754.40 / $9,772.37	Professional		$1,995.26	$5,754.40	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $8,709.64	Professional		$4,365.16	$5,248.07	$8,709.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $7,943.28	Professional		$2,884.03	$5,248.07	$7,943.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,165.95 / $9,772.37	Facility		$3,311.31	$6,165.95	$9,772.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,265.80	Professional		$2,884.03	$2,884.03	$4,265.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,754.40 / $10,000.00	Facility		$2,344.23	$5,754.40	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $5,754.40 / $10,000.00	Professional		$2,344.23	$5,754.40	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $9,549.93	Professional		$2,570.40	$5,128.61	$9,549.93