Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,444.51 / $5,225.56 / $10,269.79	Facility		$3,444.51	$5,225.56	$10,269.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,756.92 / $3,444.51 / $3,935.29	Professional		$2,756.92	$3,444.51	$3,935.29
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 $2,793.47 / $3,614.42 / $5,975.72	Professional		$2,793.47	$3,614.42	$5,975.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,597.53 / $3,597.53 / $6,799.33	Professional		$3,597.53	$3,597.53	$6,799.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $3,467.87	Facility		$1,700.00	$1,700.00	$3,467.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,848.87 / $3,766.85 / $6,862.94	Professional		$2,848.87	$3,766.85	$6,862.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,848.87 / $3,686.77 / $4,357.09	Professional		$2,848.87	$3,686.77	$4,357.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,961.73 / $3,892.30 / $5,855.67	Facility		$2,961.73	$3,892.30	$5,855.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,728.00 / $4,172.00 / $5,758.00	Professional		$3,728.00	$4,172.00	$5,758.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,850.31 / $3,809.77 / $11,388.66	Facility		$2,850.31	$3,809.77	$11,388.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,850.31 / $3,809.77 / $11,388.66	Professional		$2,850.31	$3,809.77	$11,388.66
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,288.35 / $3,676.19 / $6,051.90	Professional		$2,288.35	$3,676.19	$6,051.90