Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,461.23 / $5,412.00 / $15,165.00	Facility		$2,461.23	$5,412.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,032.50 / $2,422.58 / $3,633.00	Professional		$2,032.50	$2,422.58	$3,633.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,531.00 / $17,046.58 / $23,861.81	Facility		$10,531.00	$17,046.58	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,902.77 / $2,464.11 / $3,439.15	Professional		$1,902.77	$2,464.11	$3,439.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $2,516.69 / $4,907.56	Professional		$2,317.19	$2,516.69	$4,907.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,385.92	Facility		$490.00	$610.00	$2,385.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.70 / $2,684.42 / $4,627.66	Professional		$1,961.70	$2,684.42	$4,627.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,920.19 / $2,383.54 / $3,630.56	Professional		$1,920.19	$2,383.54	$3,630.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,147.44 / $2,763.40 / $4,094.16	Facility		$2,147.44	$2,763.40	$4,094.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,681.00 / $3,059.00 / $4,890.07	Professional		$2,681.00	$3,059.00	$4,890.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,117.13 / $2,676.61 / $4,634.60	Facility		$2,117.13	$2,676.61	$4,634.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,117.13 / $2,676.61 / $4,634.60	Professional		$2,117.13	$2,676.61	$4,634.60
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 $1,700.82 / $2,605.54 / $4,337.92	Professional		$1,700.82	$2,605.54	$4,337.92