Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,566.42 / $5,048.00 / $9,539.00	Facility		$2,566.42	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.57 / $2,566.42 / $3,112.28	Professional		$2,018.57	$2,566.42	$3,112.28
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 $2,080.04 / $2,700.70 / $3,817.70	Professional		$2,080.04	$2,700.70	$3,817.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,238.63 / $2,507.27 / $4,365.33	Professional		$2,238.63	$2,507.27	$4,365.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,598.36	Facility		$490.00	$610.00	$2,598.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,838.58 / $2,696.68 / $4,858.88	Professional		$1,838.58	$2,696.68	$4,858.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,127.69 / $2,628.33 / $3,431.37	Professional		$2,127.69	$2,628.33	$3,431.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,214.06 / $2,843.12 / $4,269.74	Facility		$2,214.06	$2,843.12	$4,269.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,565.00 / $3,103.00 / $5,189.00	Professional		$2,565.00	$3,103.00	$5,189.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,049.79 / $2,635.04 / $4,852.91	Facility		$2,049.79	$2,635.04	$4,852.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,049.79 / $2,635.04 / $4,852.91	Professional		$2,049.79	$2,635.04	$4,852.91
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 $1,741.82 / $2,539.13 / $4,249.47	Professional		$1,741.82	$2,539.13	$4,249.47