Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,222.67 / $5,282.00 / $9,830.99	Facility		$3,222.67	$5,282.00	$9,830.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,848.73 / $3,222.67 / $6,623.87	Professional		$2,848.73	$3,222.67	$6,623.87
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 $2,857.82 / $3,654.51 / $5,166.01	Professional		$2,857.82	$3,654.51	$5,166.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,213.02 / $3,438.61 / $6,265.39	Professional		$3,213.02	$3,438.61	$6,265.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $3,539.93	Facility		$490.00	$610.00	$3,539.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.18 / $3,787.19 / $6,669.09	Professional		$2,734.18	$3,787.19	$6,669.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,855.06 / $3,526.83 / $5,038.34	Professional		$2,855.06	$3,526.83	$5,038.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,058.90 / $3,936.66 / $5,490.59	Facility		$3,058.90	$3,936.66	$5,490.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,736.00 / $4,161.21 / $7,134.84	Professional		$3,736.00	$4,161.21	$7,134.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,978.80 / $3,711.43 / $6,207.05	Facility		$2,978.80	$3,711.43	$6,207.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,978.80 / $3,711.43 / $6,207.05	Professional		$2,978.80	$3,711.43	$6,207.05
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 $2,403.23 / $3,573.52 / $5,794.35	Professional		$2,403.23	$3,573.52	$5,794.35