Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $9,549.93	Facility		$2,951.21	$4,365.16	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $5,128.61	Professional		$2,290.87	$2,818.38	$5,128.61
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 $2,454.71 / $3,311.31 / $5,011.87	Professional		$2,454.71	$3,311.31	$5,011.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $3,801.89	Professional		$2,511.89	$2,754.23	$3,801.89
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 $2,041.74 / $3,019.95 / $5,011.87	Professional		$2,041.74	$3,019.95	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $4,365.16	Professional		$2,238.72	$2,691.53	$4,365.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,388.44 / $5,011.87	Professional		$3,311.31	$3,388.44	$5,011.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $5,128.61	Facility		$2,454.71	$3,311.31	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,011.87	Professional		$2,570.40	$2,570.40	$5,011.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $5,495.41	Facility		$2,398.83	$3,019.95	$5,495.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $5,495.41	Professional		$2,398.83	$3,019.95	$5,495.41
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 $1,995.26 / $2,884.03 / $5,011.87	Professional		$1,995.26	$2,884.03	$5,011.87