Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.46 / $5,048.00 / $9,539.00	Facility		$2,430.46	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,959.49 / $2,430.46 / $2,988.98	Professional		$1,959.49	$2,430.46	$2,988.98
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 $1,959.90 / $2,553.77 / $3,572.20	Professional		$1,959.90	$2,553.77	$3,572.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,391.30 / $2,427.33 / $4,663.03	Professional		$2,391.30	$2,427.33	$4,663.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,462.84	Facility		$490.00	$610.00	$2,462.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.40 / $2,565.37 / $4,666.16	Professional		$1,757.40	$2,565.37	$4,666.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,020.05 / $2,495.36 / $3,525.18	Professional		$2,020.05	$2,495.36	$3,525.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $2,700.80 / $3,978.75	Facility		$2,084.00	$2,700.80	$3,978.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,405.00 / $2,954.00 / $5,013.55	Professional		$2,405.00	$2,954.00	$5,013.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,955.59 / $2,562.75 / $4,634.57	Facility		$1,955.59	$2,562.75	$4,634.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,955.59 / $2,562.75 / $4,634.57	Professional		$1,955.59	$2,562.75	$4,634.57
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 $1,603.50 / $2,407.83 / $4,180.51	Professional		$1,603.50	$2,407.83	$4,180.51