Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,897.79 / $29,512.09	Facility		$3,090.30	$4,897.79	$29,512.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $5,495.41	Professional		$2,511.89	$3,019.95	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $12,302.69	Facility		$5,888.44	$8,709.64	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $5,370.32	Professional		$2,630.27	$3,467.37	$5,370.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,981.07	Professional		$2,630.27	$2,951.21	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $5,370.32	Professional		$2,137.96	$3,311.31	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $4,786.30	Professional		$2,398.83	$2,884.03	$4,786.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $6,025.60	Professional		$3,548.13	$3,801.89	$6,025.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $5,623.41	Facility		$2,691.53	$3,630.78	$5,623.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $5,623.41	Professional		$2,951.21	$2,951.21	$5,623.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $6,025.60	Facility		$2,570.40	$3,311.31	$6,025.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $6,025.60	Professional		$2,570.40	$3,311.31	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $5,495.41	Professional		$2,187.76	$3,162.28	$5,495.41