Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,023.42 / $4,885.62 / $9,539.00	Facility		$2,023.42	$4,885.62	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,710.89 / $2,023.42 / $2,477.94	Professional		$1,710.89	$2,023.42	$2,477.94
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 $1,629.85 / $2,108.84 / $2,981.05	Professional		$1,629.85	$2,108.84	$2,981.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,986.39 / $1,987.67 / $3,875.96	Professional		$1,986.39	$1,987.67	$3,875.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,040.31	Facility		$490.00	$610.00	$2,040.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,511.55 / $2,174.54 / $3,888.11	Professional		$1,511.55	$2,174.54	$3,888.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.60 / $2,037.75 / $2,914.04	Professional		$1,649.60	$2,037.75	$2,914.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,801.56 / $2,308.34 / $3,435.04	Facility		$1,801.56	$2,308.34	$3,435.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,063.00 / $2,498.00 / $4,118.93	Professional		$2,063.00	$2,498.00	$4,118.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,688.19 / $2,158.39 / $3,920.98	Facility		$1,688.19	$2,158.39	$3,920.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,688.19 / $2,158.39 / $3,920.98	Professional		$1,688.19	$2,158.39	$3,920.98
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.74 / $2,034.93 / $3,361.95	Professional		$1,378.74	$2,034.93	$3,361.95