Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,521.51 / $5,048.00 / $10,767.00	Facility		$2,521.51	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.75 / $2,521.51 / $3,080.29	Professional		$1,443.75	$2,521.51	$3,080.29
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 $1,548.13 / $1,988.49 / $2,810.12	Professional		$1,548.13	$1,988.49	$2,810.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,197.77 / $2,197.77 / $4,285.64	Professional		$2,197.77	$2,197.77	$4,285.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $2,588.77	Facility		$490.00	$610.00	$2,588.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.61 / $3,258.71 / $6,127.61	Professional		$1,518.61	$3,258.71	$6,127.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,594.75 / $1,935.39 / $2,386.96	Professional		$1,594.75	$1,935.39	$2,386.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,286.19 / $3,064.36 / $4,490.76	Facility		$2,286.19	$3,064.36	$4,490.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,312.28 / $4,024.95 / $5,354.04	Professional		$2,312.28	$4,024.95	$5,354.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $910.06 / $3,133.43 / $5,385.27	Facility		$910.06	$3,133.43	$5,385.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $910.06 / $3,133.43 / $5,385.27	Professional		$910.06	$3,133.43	$5,385.27
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 $1,464.40 / $2,295.09 / $4,343.26	Professional		$1,464.40	$2,295.09	$4,343.26