Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,611.80 / $5,048.00 / $9,539.00	Facility		$2,611.80	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,182.46 / $2,611.80 / $3,190.49	Professional		$2,182.46	$2,611.80	$3,190.49
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 $2,076.85 / $2,706.15 / $3,789.10	Professional		$2,076.85	$2,706.15	$3,789.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,542.69 / $2,552.86 / $4,958.25	Professional		$2,542.69	$2,552.86	$4,958.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,631.54	Facility		$490.00	$610.00	$2,631.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.84 / $2,774.72 / $5,003.84	Professional		$1,878.84	$2,774.72	$5,003.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,118.84 / $2,617.39 / $3,742.07	Professional		$2,118.84	$2,617.39	$3,742.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $2,946.74 / $4,281.42	Facility		$2,264.00	$2,946.74	$4,281.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,604.00 / $3,207.00 / $5,298.89	Professional		$2,604.00	$3,207.00	$5,298.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,126.21 / $2,778.08 / $4,982.79	Facility		$2,126.21	$2,778.08	$4,982.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,126.21 / $2,778.08 / $4,982.79	Professional		$2,126.21	$2,778.08	$4,982.79
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 $1,763.93 / $2,533.73 / $4,465.29	Professional		$1,763.93	$2,533.73	$4,465.29