Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,595.16 / $5,048.00 / $9,539.00	Facility		$2,595.16	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,188.11 / $2,595.16 / $3,192.81	Professional		$2,188.11	$2,595.16	$3,192.81
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 $2,066.03 / $2,692.05 / $3,769.36	Professional		$2,066.03	$2,692.05	$3,769.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,550.85 / $2,582.10 / $5,035.09	Professional		$2,550.85	$2,582.10	$5,035.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,605.12	Facility		$490.00	$610.00	$2,605.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.02 / $2,769.13 / $5,011.31	Professional		$1,869.02	$2,769.13	$5,011.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,113.89 / $2,611.28 / $3,730.40	Professional		$2,113.89	$2,611.28	$3,730.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,251.00 / $2,943.90 / $4,282.88	Facility		$2,251.00	$2,943.90	$4,282.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,644.00 / $3,220.00 / $5,279.47	Professional		$2,644.00	$3,220.00	$5,279.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,079.98 / $2,773.74 / $4,975.47	Facility		$2,079.98	$2,773.74	$4,975.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,079.98 / $2,773.74 / $4,975.47	Professional		$2,079.98	$2,773.74	$4,975.47
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 $1,779.30 / $2,557.75 / $4,550.08	Professional		$1,779.30	$2,557.75	$4,550.08