Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,288.88 / $5,061.38 / $9,662.12	Facility		$3,288.88	$5,061.38	$9,662.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,751.03 / $3,288.88 / $4,015.44	Professional		$2,751.03	$3,288.88	$4,015.44
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 $2,669.90 / $3,405.35 / $4,813.80	Professional		$2,669.90	$3,405.35	$4,813.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,208.42 / $3,216.84 / $6,272.84	Professional		$3,208.42	$3,216.84	$6,272.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $3,293.81	Facility		$490.00	$610.00	$3,293.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,506.86 / $3,553.22 / $6,300.70	Professional		$2,506.86	$3,553.22	$6,300.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,659.02 / $3,284.67 / $4,715.66	Professional		$2,659.02	$3,284.67	$4,715.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,900.83 / $3,714.84 / $5,558.21	Facility		$2,900.83	$3,714.84	$5,558.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,543.00 / $4,048.00 / $6,651.12	Professional		$3,543.00	$4,048.00	$6,651.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,841.10 / $3,507.42 / $6,218.97	Facility		$2,841.10	$3,507.42	$6,218.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,841.10 / $3,507.42 / $6,218.97	Professional		$2,841.10	$3,507.42	$6,218.97
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 $2,247.62 / $3,381.56 / $5,435.22	Professional		$2,247.62	$3,381.56	$5,435.22