Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,222.48 / $5,048.00 / $9,539.00	Facility		$2,222.48	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.12 / $2,222.48 / $2,737.79	Professional		$1,875.12	$2,222.48	$2,737.79
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 $1,800.51 / $2,324.19 / $3,254.31	Professional		$1,800.51	$2,324.19	$3,254.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,173.61 / $2,194.15 / $4,238.54	Professional		$2,173.61	$2,194.15	$4,238.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,258.30	Facility		$490.00	$610.00	$2,258.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,676.30 / $2,406.79 / $4,293.70	Professional		$1,676.30	$2,406.79	$4,293.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,821.88 / $2,250.56 / $3,219.55	Professional		$1,821.88	$2,250.56	$3,219.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,992.16 / $2,524.51 / $3,755.99	Facility		$1,992.16	$2,524.51	$3,755.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,381.00 / $2,753.00 / $4,552.37	Professional		$2,381.00	$2,753.00	$4,552.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,886.29 / $2,386.31 / $4,335.05	Facility		$1,886.29	$2,386.31	$4,335.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,886.29 / $2,386.31 / $4,335.05	Professional		$1,886.29	$2,386.31	$4,335.05
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 $1,541.46 / $2,280.35 / $4,048.90	Professional		$1,541.46	$2,280.35	$4,048.90