Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $9,549.93	Facility		$2,511.89	$4,168.69	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $4,466.84	Professional		$2,041.74	$2,511.89	$4,466.84
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 $2,398.83 / $3,467.37 / $6,025.60	Professional		$2,398.83	$3,467.37	$6,025.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $3,715.35	Professional		$2,398.83	$2,691.53	$3,715.35
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 $2,238.72 / $2,818.38 / $5,128.61	Professional		$2,238.72	$2,818.38	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,311.31	Professional		$2,187.76	$2,754.23	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $5,623.41	Professional		$2,754.23	$3,467.37	$5,623.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $4,677.35	Facility		$2,187.76	$3,019.95	$4,677.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $5,888.44	Facility		$1,949.84	$2,818.38	$5,888.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $5,888.44	Professional		$1,949.84	$2,818.38	$5,888.44
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 $1,737.80 / $2,691.53 / $4,677.35	Professional		$1,737.80	$2,691.53	$4,677.35