Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,942.94 / $4,796.00 / $9,539.00	Facility		$1,942.94	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.73 / $1,849.58 / $2,247.90	Professional		$1,574.73	$1,849.58	$2,247.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.91 / $2,071.50 / $3,424.81	Professional		$1,619.91	$2,071.50	$3,424.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,056.71 / $2,056.71 / $3,887.20	Professional		$2,056.71	$2,056.71	$3,887.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,980.56	Facility		$1,700.00	$1,700.00	$1,980.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.41 / $2,129.34 / $3,891.84	Professional		$1,626.41	$2,129.34	$3,891.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,637.87 / $2,119.60 / $2,504.98	Professional		$1,637.87	$2,119.60	$2,504.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,763.65 / $2,263.37 / $3,303.00	Facility		$1,763.65	$2,263.37	$3,303.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,076.00 / $2,446.00 / $3,293.00	Professional		$2,076.00	$2,446.00	$3,293.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,629.44 / $2,141.21 / $4,004.42	Facility		$1,629.44	$2,141.21	$4,004.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,629.44 / $2,141.21 / $4,004.42	Professional		$1,629.44	$2,141.21	$4,004.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.00 / $3,295.00 / $5,790.00	Facility		$1,584.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,293.32 / $2,018.42 / $3,425.37	Professional		$1,293.32	$2,018.42	$3,425.37