Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.08 / $5,061.53 / $9,918.00	Facility		$2,112.08	$5,061.53	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.18 / $2,072.21 / $2,785.36	Professional		$1,767.18	$2,072.21	$2,785.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.13 / $8,012.60 / $11,216.04	Facility		$5,362.13	$8,012.60	$11,216.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,679.72 / $2,115.52 / $3,012.94	Professional		$1,679.72	$2,115.52	$3,012.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,983.20 / $2,094.64 / $4,084.55	Professional		$1,983.20	$2,094.64	$4,084.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,055.25	Facility		$490.00	$610.00	$2,055.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.29 / $2,290.37 / $3,949.22	Professional		$1,677.29	$2,290.37	$3,949.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,645.30 / $2,047.87 / $3,084.73	Professional		$1,645.30	$2,047.87	$3,084.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,865.16 / $2,390.42 / $3,526.85	Facility		$1,865.16	$2,390.42	$3,526.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,638.00 / $4,197.05	Professional		$2,304.00	$2,638.00	$4,197.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,864.36 / $2,290.54 / $4,083.17	Facility		$1,864.36	$2,290.54	$4,083.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,864.36 / $2,290.54 / $4,083.17	Professional		$1,864.36	$2,290.54	$4,083.17
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 $1,418.69 / $2,172.91 / $3,603.23	Professional		$1,418.69	$2,172.91	$3,603.23