Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,726.49 / $5,048.00 / $9,539.00	Facility		$2,726.49	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,010.18 / $2,726.49 / $3,194.78	Professional		$2,010.18	$2,726.49	$3,194.78
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 $2,270.44 / $2,937.68 / $4,856.85	Professional		$2,270.44	$2,937.68	$4,856.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,632.54 / $2,632.54 / $4,975.50	Professional		$2,632.54	$2,632.54	$4,975.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,814.58	Facility		$640.00	$640.00	$2,814.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.89 / $2,982.72 / $5,551.30	Professional		$2,191.89	$2,982.72	$5,551.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,319.35 / $3,001.52 / $3,547.25	Professional		$2,319.35	$3,001.52	$3,547.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,317.52 / $3,129.48 / $4,666.60	Facility		$2,317.52	$3,129.48	$4,666.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,604.00 / $3,338.62 / $4,542.00	Professional		$2,604.00	$3,338.62	$4,542.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,093.44 / $2,925.06 / $5,382.04	Facility		$2,093.44	$2,925.06	$5,382.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,093.44 / $2,925.06 / $5,382.04	Professional		$2,093.44	$2,925.06	$5,382.04
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 $1,846.83 / $2,898.14 / $4,634.66	Professional		$1,846.83	$2,898.14	$4,634.66