Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,508.82 / $4,771.00 / $10,767.00	Facility		$2,508.82	$4,771.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.69 / $2,508.82 / $3,147.17	Professional		$2,068.69	$2,508.82	$3,147.17
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 $1,997.18 / $2,602.34 / $3,643.75	Professional		$1,997.18	$2,602.34	$3,643.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,441.30 / $2,459.32 / $4,760.53	Professional		$2,441.30	$2,459.32	$4,760.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,524.85	Facility		$490.00	$610.00	$2,524.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,839.99 / $2,700.99 / $4,726.46	Professional		$1,839.99	$2,700.99	$4,726.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.26 / $2,507.96 / $3,619.12	Professional		$2,030.26	$2,507.96	$3,619.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,132.50 / $2,783.17 / $4,098.51	Facility		$2,132.50	$2,783.17	$4,098.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,697.00 / $3,105.00 / $5,124.89	Professional		$2,697.00	$3,105.00	$5,124.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,092.80 / $2,657.83 / $4,766.01	Facility		$2,092.80	$2,657.83	$4,766.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,092.80 / $2,657.83 / $4,766.01	Professional		$2,092.80	$2,657.83	$4,766.01
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 $1,719.10 / $2,559.77 / $4,297.74	Professional		$1,719.10	$2,559.77	$4,297.74