Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.60 / $5,412.00 / $14,796.00	Facility		$2,442.60	$5,412.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,045.72 / $2,442.60 / $2,982.81	Professional		$2,045.72	$2,442.60	$2,982.81
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 $1,932.84 / $2,518.51 / $3,524.60	Professional		$1,932.84	$2,518.51	$3,524.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,386.82 / $2,387.67 / $4,655.97	Professional		$2,386.82	$2,387.67	$4,655.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,436.71	Facility		$490.00	$610.00	$2,436.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.15 / $2,574.00 / $4,682.74	Professional		$1,729.15	$2,574.00	$4,682.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,978.08 / $2,443.51 / $3,496.25	Professional		$1,978.08	$2,443.51	$3,496.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,076.21 / $2,700.06 / $3,994.44	Facility		$2,076.21	$2,700.06	$3,994.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,456.00 / $3,009.00 / $4,939.32	Professional		$2,456.00	$3,009.00	$4,939.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,928.00 / $2,593.29 / $4,646.85	Facility		$1,928.00	$2,593.29	$4,646.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $2,593.29 / $4,646.85	Professional		$1,928.00	$2,593.29	$4,646.85
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 $1,641.89 / $2,368.38 / $4,125.62	Professional		$1,641.89	$2,368.38	$4,125.62