Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,749.35 / $5,048.00 / $9,539.00	Facility		$2,749.35	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,120.23 / $2,749.35 / $3,128.76	Professional		$2,120.23	$2,749.35	$3,128.76
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 $2,222.75 / $2,875.97 / $4,754.84	Professional		$2,222.75	$2,875.97	$4,754.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,720.64 / $2,720.64 / $5,142.01	Professional		$2,720.64	$2,720.64	$5,142.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,756.33	Facility		$640.00	$640.00	$2,756.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,235.44 / $2,882.78 / $5,436.24	Professional		$2,235.44	$2,882.78	$5,436.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,269.59 / $2,937.12 / $3,471.14	Professional		$2,269.59	$2,937.12	$3,471.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,284.23 / $3,047.26 / $4,571.49	Facility		$2,284.23	$3,047.26	$4,571.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,733.00 / $3,280.00 / $4,575.00	Professional		$2,733.00	$3,280.00	$4,575.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,134.07 / $2,934.93 / $5,270.95	Facility		$2,134.07	$2,934.93	$5,270.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,134.07 / $2,934.93 / $5,270.95	Professional		$2,134.07	$2,934.93	$5,270.95
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 $1,757.78 / $2,705.35 / $4,538.59	Professional		$1,757.78	$2,705.35	$4,538.59