Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,031.55 / $5,048.00 / $14,187.00	Facility		$2,031.55	$5,048.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,722.68 / $2,031.55 / $3,041.16	Professional		$1,722.68	$2,031.55	$3,041.16
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 $1,647.57 / $2,131.63 / $3,031.82	Professional		$1,647.57	$2,131.63	$3,031.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,000.43 / $2,000.43 / $3,900.84	Professional		$2,000.43	$2,000.43	$3,900.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,060.11	Facility		$490.00	$610.00	$2,060.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.06 / $2,199.77 / $3,919.13	Professional		$1,544.06	$2,199.77	$3,919.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,669.33 / $2,062.12 / $2,945.88	Professional		$1,669.33	$2,062.12	$2,945.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,852.99 / $2,328.35 / $3,433.32	Facility		$1,852.99	$2,328.35	$3,433.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,113.94 / $2,518.32 / $4,164.74	Professional		$2,113.94	$2,518.32	$4,164.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,755.51 / $2,179.67 / $3,946.83	Facility		$1,755.51	$2,179.67	$3,946.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,755.51 / $2,179.67 / $3,946.83	Professional		$1,755.51	$2,179.67	$3,946.83
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $6,380.00	Facility		$327.00	$2,397.00	$6,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.94 / $2,058.42 / $3,377.70	Professional		$1,396.94	$2,058.42	$3,377.70