Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.44 / $5,048.00 / $9,539.00	Facility		$2,454.44	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,903.28 / $2,454.44 / $3,206.97	Professional		$1,903.28	$2,454.44	$3,206.97
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 $2,017.42 / $2,610.31 / $4,315.62	Professional		$2,017.42	$2,610.31	$4,315.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,466.17 / $2,466.17 / $4,661.08	Professional		$2,466.17	$2,466.17	$4,661.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,498.52	Facility		$640.00	$640.00	$2,498.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,023.22 / $2,650.18 / $4,918.60	Professional		$2,023.22	$2,650.18	$4,918.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,062.23 / $2,668.79 / $3,154.02	Professional		$2,062.23	$2,668.79	$3,154.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,086.27 / $2,782.57 / $4,172.55	Facility		$2,086.27	$2,782.57	$4,172.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,535.75 / $2,982.00 / $4,148.00	Professional		$2,535.75	$2,982.00	$4,148.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,014.99 / $2,665.85 / $4,775.77	Facility		$2,014.99	$2,665.85	$4,775.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,014.99 / $2,665.85 / $4,775.77	Professional		$2,014.99	$2,665.85	$4,775.77
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 $1,636.44 / $2,459.67 / $4,099.46	Professional		$1,636.44	$2,459.67	$4,099.46