Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,234.08 / $5,048.00 / $9,539.00	Facility		$3,234.08	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,693.68 / $3,234.08 / $3,935.95	Professional		$2,693.68	$3,234.08	$3,935.95
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 $2,617.02 / $3,350.33 / $4,736.02	Professional		$2,617.02	$3,350.33	$4,736.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,150.89 / $3,154.99 / $6,152.23	Professional		$3,150.89	$3,154.99	$6,152.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $3,246.98	Facility		$490.00	$610.00	$3,246.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,434.84 / $3,452.23 / $6,301.79	Professional		$2,434.84	$3,452.23	$6,301.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,615.44 / $3,230.84 / $4,621.97	Professional		$2,615.44	$3,230.84	$4,621.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,798.90 / $3,565.09 / $5,283.31	Facility		$2,798.90	$3,565.09	$5,283.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,242.00 / $3,965.00 / $6,539.66	Professional		$3,242.00	$3,965.00	$6,539.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,675.46 / $3,428.32 / $6,115.35	Facility		$2,675.46	$3,428.32	$6,115.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,675.46 / $3,428.32 / $6,115.35	Professional		$2,675.46	$3,428.32	$6,115.35
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 $2,188.21 / $3,199.19 / $5,351.02	Professional		$2,188.21	$3,199.19	$5,351.02