Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.94 / $5,048.00 / $9,539.00	Facility		$2,144.94	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,735.56 / $2,144.94 / $2,477.79	Professional		$1,735.56	$2,144.94	$2,477.79
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 $1,784.29 / $2,283.33 / $3,775.02	Professional		$1,784.29	$2,283.33	$3,775.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,154.30 / $2,176.16 / $4,071.63	Professional		$2,154.30	$2,176.16	$4,071.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $2,182.87	Facility		$1,700.00	$1,700.00	$2,182.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,793.84 / $2,333.53 / $4,288.93	Professional		$1,793.84	$2,333.53	$4,288.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,806.39 / $2,337.69 / $2,762.72	Professional		$1,806.39	$2,337.69	$2,762.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,953.51 / $2,509.58 / $3,717.11	Facility		$1,953.51	$2,509.58	$3,717.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,325.00 / $2,681.00 / $3,624.00	Professional		$2,325.00	$2,681.00	$3,624.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,791.89 / $2,355.66 / $4,415.49	Facility		$1,791.89	$2,355.66	$4,415.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,791.89 / $2,355.66 / $4,415.49	Professional		$1,791.89	$2,355.66	$4,415.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.48 / $2,293.35 / $3,831.70	Professional		$1,485.48	$2,293.35	$3,831.70