Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,479.25 / $5,048.00 / $9,539.00	Facility		$2,479.25	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,084.73 / $2,479.25 / $3,264.67	Professional		$2,084.73	$2,479.25	$3,264.67
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 $2,039.19 / $2,568.26 / $3,633.52	Professional		$2,039.19	$2,568.26	$3,633.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,425.21 / $2,428.57 / $4,735.71	Professional		$2,425.21	$2,428.57	$4,735.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,477.98	Facility		$490.00	$610.00	$2,477.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,910.84 / $2,693.53 / $4,850.43	Professional		$1,910.84	$2,693.53	$4,850.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,011.10 / $2,484.30 / $3,549.00	Professional		$2,011.10	$2,484.30	$3,549.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,248.48 / $2,835.29 / $4,107.05	Facility		$2,248.48	$2,835.29	$4,107.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,705.00 / $3,106.58 / $5,020.13	Professional		$2,705.00	$3,106.58	$5,020.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,160.42 / $2,658.04 / $4,718.28	Facility		$2,160.42	$2,658.04	$4,718.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,160.42 / $2,658.04 / $4,718.28	Professional		$2,160.42	$2,658.04	$4,718.28
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 $1,698.20 / $2,497.09 / $4,248.47	Professional		$1,698.20	$2,497.09	$4,248.47