Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,549.93	Facility		$2,454.71	$4,073.80	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $4,786.30	Professional		$2,041.74	$2,454.71	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $23,442.29 / $31,622.78	Facility		$13,803.84	$23,442.29	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $5,888.44	Professional		$2,344.23	$3,388.44	$5,888.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,630.27 / $3,630.78	Professional		$2,344.23	$2,630.27	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $5,011.87	Professional		$2,187.76	$2,818.38	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,311.31	Professional		$2,137.96	$2,754.23	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $5,495.41	Professional		$2,884.03	$3,548.13	$5,495.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $4,570.88	Facility		$2,137.96	$2,951.21	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $5,754.40	Facility		$1,949.84	$2,818.38	$5,754.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $5,754.40	Professional		$1,949.84	$2,818.38	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $7,079.46	Facility		$1,584.89	$3,388.44	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $4,570.88	Professional		$1,698.24	$2,691.53	$4,570.88