Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.91 / $4,796.00 / $9,539.00	Facility		$1,811.91	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.43 / $1,811.91 / $2,172.11	Professional		$1,435.43	$1,811.91	$2,172.11
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 $1,550.27 / $2,005.87 / $3,316.30	Professional		$1,550.27	$2,005.87	$3,316.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,876.36 / $1,876.36 / $3,546.32	Professional		$1,876.36	$1,876.36	$3,546.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,911.67	Facility		$640.00	$640.00	$1,911.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.05 / $2,030.97 / $3,735.81	Professional		$1,548.05	$2,030.97	$3,735.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.93 / $2,060.15 / $2,434.71	Professional		$1,591.93	$2,060.15	$2,434.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $2,117.84 / $3,197.26	Facility		$1,680.00	$2,117.84	$3,197.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,863.00 / $2,259.00 / $3,157.00	Professional		$1,863.00	$2,259.00	$3,157.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,549.33 / $2,050.69 / $3,877.82	Facility		$1,549.33	$2,050.69	$3,877.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,549.33 / $2,050.69 / $3,877.82	Professional		$1,549.33	$2,050.69	$3,877.82
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 $1,238.44 / $1,945.60 / $3,200.07	Professional		$1,238.44	$1,945.60	$3,200.07