Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,256.48 / $5,048.00 / $9,539.00	Facility		$2,256.48	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,893.49 / $2,256.48 / $2,762.75	Professional		$1,893.49	$2,256.48	$2,762.75
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 $1,835.65 / $2,347.39 / $3,318.27	Professional		$1,835.65	$2,347.39	$3,318.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,211.53 / $2,217.76 / $4,324.63	Professional		$2,211.53	$2,217.76	$4,324.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,270.62	Facility		$490.00	$610.00	$2,270.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.42 / $2,437.05 / $4,334.88	Professional		$1,711.42	$2,437.05	$4,334.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,835.24 / $2,267.07 / $3,259.26	Professional		$1,835.24	$2,267.07	$3,259.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.76 / $2,557.94 / $3,813.45	Facility		$1,995.76	$2,557.94	$3,813.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,422.00 / $2,794.00 / $4,584.97	Professional		$2,422.00	$2,794.00	$4,584.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,897.53 / $2,409.55 / $4,369.93	Facility		$1,897.53	$2,409.55	$4,369.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,897.53 / $2,409.55 / $4,369.93	Professional		$1,897.53	$2,409.55	$4,369.93
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 $1,545.99 / $2,311.09 / $3,739.64	Professional		$1,545.99	$2,311.09	$3,739.64