Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.67 / $5,048.00 / $9,539.00	Facility		$2,131.67	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.93 / $2,131.67 / $2,602.42	Professional		$1,783.93	$2,131.67	$2,602.42
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 $1,694.13 / $2,207.46 / $3,090.86	Professional		$1,694.13	$2,207.46	$3,090.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,040.30 / $2,085.73 / $3,978.59	Professional		$2,040.30	$2,085.73	$3,978.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,142.85	Facility		$490.00	$610.00	$2,142.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,533.89 / $2,277.19 / $3,997.95	Professional		$1,533.89	$2,277.19	$3,997.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,731.67 / $2,139.12 / $3,045.60	Professional		$1,731.67	$2,139.12	$3,045.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,811.93 / $2,384.59 / $3,487.10	Facility		$1,811.93	$2,384.59	$3,487.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,240.00 / $2,611.00 / $4,325.16	Professional		$2,240.00	$2,611.00	$4,325.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,763.48 / $2,257.48 / $4,120.85	Facility		$1,763.48	$2,257.48	$4,120.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,763.48 / $2,257.48 / $4,120.85	Professional		$1,763.48	$2,257.48	$4,120.85
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 $1,457.52 / $2,142.31 / $3,526.55	Professional		$1,457.52	$2,142.31	$3,526.55