Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,815.43 / $5,048.00 / $9,539.00	Facility		$2,815.43	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,272.57 / $2,815.43 / $3,512.13	Professional		$2,272.57	$2,815.43	$3,512.13
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 $2,285.01 / $2,956.54 / $4,179.35	Professional		$2,285.01	$2,956.54	$4,179.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,678.31 / $2,796.36 / $5,222.70	Professional		$2,678.31	$2,796.36	$5,222.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,847.56	Facility		$490.00	$610.00	$2,847.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,113.67 / $3,012.64 / $5,424.34	Professional		$2,113.67	$3,012.64	$5,424.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,324.57 / $2,871.53 / $4,102.18	Professional		$2,324.57	$2,871.53	$4,102.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,506.90 / $3,160.39 / $4,758.08	Facility		$2,506.90	$3,160.39	$4,758.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.88 / $3,493.00 / $5,781.96	Professional		$2,884.88	$3,493.00	$5,781.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,369.83 / $2,971.48 / $5,323.72	Facility		$2,369.83	$2,971.48	$5,323.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,369.83 / $2,971.48 / $5,323.72	Professional		$2,369.83	$2,971.48	$5,323.72
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 $1,933.18 / $2,829.01 / $4,660.71	Professional		$1,933.18	$2,829.01	$4,660.71