Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,889.39 / $5,048.00 / $9,539.00	Facility		$2,889.39	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.04 / $2,889.39 / $3,505.33	Professional		$2,400.04	$2,889.39	$3,505.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,807.00 / $17,284.09 / $24,194.30	Facility		$7,807.00	$17,284.09	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,348.89 / $3,003.70 / $4,246.03	Professional		$2,348.89	$3,003.70	$4,246.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,825.40 / $2,850.23 / $5,557.95	Professional		$2,825.40	$2,850.23	$5,557.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,910.22	Facility		$490.00	$610.00	$2,910.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,231.17 / $3,155.09 / $5,464.10	Professional		$2,231.17	$3,155.09	$5,464.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,350.05 / $2,903.00 / $4,252.72	Professional		$2,350.05	$2,903.00	$4,252.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,590.28 / $3,279.95 / $4,883.07	Facility		$2,590.28	$3,279.95	$4,883.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,208.00 / $3,588.00 / $5,872.42	Professional		$3,208.00	$3,588.00	$5,872.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,489.86 / $3,138.24 / $5,463.58	Facility		$2,489.86	$3,138.24	$5,463.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,489.86 / $3,138.24 / $5,463.58	Professional		$2,489.86	$3,138.24	$5,463.58
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,981.10 / $2,991.43 / $5,092.75	Professional		$1,981.10	$2,991.43	$5,092.75