Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $9,772.37	Facility		$3,235.94	$4,786.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $5,888.44	Professional		$2,570.40	$3,162.28	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $5,623.41	Professional		$2,754.23	$3,715.35	$5,623.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $4,265.80	Professional		$2,818.38	$3,162.28	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $5,754.40	Professional		$2,290.87	$3,388.44	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $5,128.61	Professional		$2,570.40	$3,090.30	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $6,606.93	Professional		$3,548.13	$3,801.89	$6,606.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $5,623.41	Facility		$2,818.38	$3,715.35	$5,623.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,623.41	Professional		$3,311.31	$3,311.31	$5,623.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $6,309.57	Facility		$2,691.53	$3,311.31	$6,309.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $6,309.57	Professional		$2,691.53	$3,311.31	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $5,623.41	Professional		$2,238.72	$3,235.94	$5,623.41