Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,141.53 / $5,116.70 / $9,918.00	Facility		$2,141.53	$5,116.70	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,795.08 / $2,137.03 / $2,627.94	Professional		$1,795.08	$2,137.03	$2,627.94
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 $1,700.74 / $2,174.86 / $3,097.46	Professional		$1,700.74	$2,174.86	$3,097.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,042.94 / $2,212.01 / $4,313.42	Professional		$2,042.94	$2,212.01	$4,313.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,108.35	Facility		$490.00	$610.00	$2,108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.97 / $2,354.48 / $3,959.67	Professional		$1,717.97	$2,354.48	$3,959.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,692.66 / $2,103.19 / $3,219.90	Professional		$1,692.66	$2,103.19	$3,219.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,910.96 / $2,441.63 / $3,619.19	Facility		$1,910.96	$2,441.63	$3,619.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,366.00 / $2,701.70 / $4,315.82	Professional		$2,366.00	$2,701.70	$4,315.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,875.98 / $2,360.48 / $4,099.87	Facility		$1,875.98	$2,360.48	$4,099.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,875.98 / $2,360.48 / $4,099.87	Professional		$1,875.98	$2,360.48	$4,099.87
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 $1,487.92 / $2,152.06 / $3,561.68	Professional		$1,487.92	$2,152.06	$3,561.68