Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,619.64 / $5,048.00 / $9,539.00	Facility		$2,619.64	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,140.23 / $2,619.64 / $3,056.58	Professional		$2,140.23	$2,619.64	$3,056.58
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 $2,172.33 / $2,810.74 / $4,646.99	Professional		$2,172.33	$2,810.74	$4,646.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,657.89 / $2,657.89 / $5,023.41	Professional		$2,657.89	$2,657.89	$5,023.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,692.04	Facility		$640.00	$640.00	$2,692.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,190.56 / $2,858.87 / $5,304.89	Professional		$2,190.56	$2,858.87	$5,304.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,219.62 / $2,872.45 / $3,394.72	Professional		$2,219.62	$2,872.45	$3,394.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,226.69 / $3,016.00 / $4,469.54	Facility		$2,226.69	$3,016.00	$4,469.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,794.00 / $3,301.00 / $4,470.00	Professional		$2,794.00	$3,301.00	$4,470.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.17 / $2,880.86 / $5,149.60	Facility		$2,089.17	$2,880.86	$5,149.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.17 / $2,880.86 / $5,149.60	Professional		$2,089.17	$2,880.86	$5,149.60
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 $1,740.24 / $2,718.86 / $4,530.80	Professional		$1,740.24	$2,718.86	$4,530.80