Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $9,549.93	Facility		$2,570.40	$3,890.45	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $4,466.84	Professional		$2,041.74	$2,454.71	$4,466.84
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 $2,137.96 / $2,884.03 / $4,365.16	Professional		$2,137.96	$2,884.03	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $3,311.31	Professional		$2,137.96	$2,398.83	$3,311.31
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 $1,778.28 / $2,691.53 / $4,365.16	Professional		$1,778.28	$2,691.53	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,981.07	Professional		$1,995.26	$2,454.71	$3,981.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $4,897.79	Professional		$2,951.21	$3,019.95	$4,897.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $4,570.88	Facility		$2,187.76	$3,019.95	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,466.84	Professional		$2,570.40	$2,570.40	$4,466.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,128.61	Facility		$2,089.30	$2,691.53	$5,128.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,128.61	Professional		$2,089.30	$2,691.53	$5,128.61
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 $1,778.28 / $2,570.40 / $4,365.16	Professional		$1,778.28	$2,570.40	$4,365.16