Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,599.64 / $5,048.00 / $9,539.00	Facility		$2,599.64	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,197.58 / $2,599.64 / $3,187.25	Professional		$2,197.58	$2,599.64	$3,187.25
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 $2,072.64 / $2,700.67 / $3,781.42	Professional		$2,072.64	$2,700.67	$3,781.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,548.90 / $2,556.81 / $4,985.78	Professional		$2,548.90	$2,556.81	$4,985.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,624.83	Facility		$490.00	$610.00	$2,624.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.91 / $2,801.40 / $4,887.97	Professional		$1,922.91	$2,801.40	$4,887.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,115.56 / $2,613.33 / $3,778.24	Professional		$2,115.56	$2,613.33	$3,778.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,270.50 / $2,951.65 / $4,289.41	Facility		$2,270.50	$2,951.65	$4,289.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,807.00 / $3,238.00 / $5,289.05	Professional		$2,807.00	$3,238.00	$5,289.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,152.23 / $2,775.07 / $4,974.97	Facility		$2,152.23	$2,775.07	$4,974.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,152.23 / $2,775.07 / $4,974.97	Professional		$2,152.23	$2,775.07	$4,974.97
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 $1,795.13 / $2,647.93 / $4,412.22	Professional		$1,795.13	$2,647.93	$4,412.22