Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,780.77 / $5,048.00 / $9,539.00	Facility		$2,780.77	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,351.51 / $2,780.77 / $4,205.91	Professional		$2,351.51	$2,780.77	$4,205.91
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 $2,269.91 / $2,902.70 / $4,103.25	Professional		$2,269.91	$2,902.70	$4,103.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,732.20 / $2,732.34 / $5,328.06	Professional		$2,732.20	$2,732.34	$5,328.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,810.59	Facility		$490.00	$610.00	$2,810.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,106.66 / $2,988.73 / $5,464.39	Professional		$2,106.66	$2,988.73	$5,464.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,269.58 / $2,803.59 / $4,005.14	Professional		$2,269.58	$2,803.59	$4,005.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,428.92 / $3,090.36 / $4,569.22	Facility		$2,428.92	$3,090.36	$4,569.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,824.00 / $3,433.00 / $5,667.77	Professional		$2,824.00	$3,433.00	$5,667.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,317.98 / $2,973.93 / $5,318.96	Facility		$2,317.98	$2,973.93	$5,318.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,317.98 / $2,973.93 / $5,318.96	Professional		$2,317.98	$2,973.93	$5,318.96
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 $1,907.69 / $2,785.40 / $4,770.84	Professional		$1,907.69	$2,785.40	$4,770.84