Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,345.41 / $5,048.00 / $10,767.00	Facility		$2,345.41	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.54 / $2,345.41 / $3,217.50	Professional		$1,960.54	$2,345.41	$3,217.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,571.32 / $2,018.28 / $2,817.08	Professional		$1,571.32	$2,018.28	$2,817.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,388.71 / $2,388.71 / $4,657.97	Professional		$2,388.71	$2,388.71	$4,657.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,354.05	Facility		$490.00	$610.00	$2,354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,682.86 / $2,790.19 / $4,998.62	Professional		$1,682.86	$2,790.19	$4,998.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,846.54 / $2,241.02 / $2,763.91	Professional		$1,846.54	$2,241.02	$2,763.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,993.60 / $2,670.44 / $3,963.74	Facility		$1,993.60	$2,670.44	$3,963.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,863.87 / $3,316.00 / $4,868.71	Professional		$2,863.87	$3,316.00	$4,868.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,507.44 / $3,299.13 / $4,725.91	Facility		$1,507.44	$3,299.13	$4,725.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,507.44 / $3,299.13 / $4,725.91	Professional		$1,507.44	$3,299.13	$4,725.91
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 $1,646.41 / $2,560.31 / $5,256.32	Professional		$1,646.41	$2,560.31	$5,256.32