Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,440.54 / $5,048.00 / $9,539.00	Facility		$2,440.54	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,051.28 / $2,440.54 / $3,051.48	Professional		$2,051.28	$2,440.54	$3,051.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,933.75 / $2,519.69 / $3,528.02	Professional		$1,933.75	$2,519.69	$3,528.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,381.23 / $2,389.06 / $4,658.67	Professional		$2,381.23	$2,389.06	$4,658.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,445.40	Facility		$490.00	$610.00	$2,445.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.81 / $2,605.16 / $4,563.71	Professional		$1,782.81	$2,605.16	$4,563.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,974.78 / $2,439.42 / $3,499.13	Professional		$1,974.78	$2,439.42	$3,499.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,074.46 / $2,722.62 / $3,993.79	Facility		$2,074.46	$2,722.62	$3,993.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,575.00 / $3,001.00 / $4,936.80	Professional		$2,575.00	$3,001.00	$4,936.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,008.69 / $2,591.37 / $4,642.58	Facility		$2,008.69	$2,591.37	$4,642.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,008.69 / $2,591.37 / $4,642.58	Professional		$2,008.69	$2,591.37	$4,642.58
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 $1,629.77 / $2,457.04 / $4,031.77	Professional		$1,629.77	$2,457.04	$4,031.77