Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,542.94 / $5,048.00 / $9,539.00	Facility		$2,542.94	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,123.98 / $2,542.94 / $3,088.92	Professional		$2,123.98	$2,542.94	$3,088.92
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 $2,049.60 / $2,616.19 / $3,717.88	Professional		$2,049.60	$2,616.19	$3,717.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,453.21 / $2,678.55 / $5,223.17	Professional		$2,453.21	$2,678.55	$5,223.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,543.44	Facility		$490.00	$610.00	$2,543.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.39 / $2,857.16 / $4,896.24	Professional		$2,031.39	$2,857.16	$4,896.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,031.64 / $2,509.67 / $3,900.36	Professional		$2,031.64	$2,509.67	$3,900.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,296.46 / $2,934.16 / $4,335.41	Facility		$2,296.46	$2,934.16	$4,335.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,801.00 / $3,237.00 / $5,108.83	Professional		$2,801.00	$3,237.00	$5,108.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,246.14 / $2,823.50 / $4,906.37	Facility		$2,246.14	$2,823.50	$4,906.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,246.14 / $2,823.50 / $4,906.37	Professional		$2,246.14	$2,823.50	$4,906.37
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 $1,785.37 / $2,593.48 / $4,180.60	Professional		$1,785.37	$2,593.48	$4,180.60