Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,523.39 / $5,087.00 / $8,920.00	Facility		$2,523.39	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.12 / $2,523.39 / $3,080.89	Professional		$1,999.12	$2,523.39	$3,080.89
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 $2,038.18 / $2,606.38 / $3,707.06	Professional		$2,038.18	$2,606.38	$3,707.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,261.48 / $2,460.17 / $4,409.89	Professional		$2,261.48	$2,460.17	$4,409.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,515.92	Facility		$490.00	$610.00	$2,515.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,932.56 / $2,687.72 / $4,920.35	Professional		$1,932.56	$2,687.72	$4,920.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.62 / $2,522.00 / $3,433.30	Professional		$2,041.62	$2,522.00	$3,433.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,280.01 / $2,875.72 / $4,131.33	Facility		$2,280.01	$2,875.72	$4,131.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,656.00 / $3,035.00 / $5,093.78	Professional		$2,656.00	$3,035.00	$5,093.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,087.67 / $2,633.94 / $4,771.52	Facility		$2,087.67	$2,633.94	$4,771.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,087.67 / $2,633.94 / $4,771.52	Professional		$2,087.67	$2,633.94	$4,771.52
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 $1,726.65 / $2,555.38 / $4,394.93	Professional		$1,726.65	$2,555.38	$4,394.93