Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,009.17 / $5,040.25 / $9,539.00	Facility		$2,009.17	$5,040.25	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.55 / $2,009.17 / $2,797.95	Professional		$1,625.55	$2,009.17	$2,797.95
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 $1,718.85 / $2,223.98 / $3,676.92	Professional		$1,718.85	$2,223.98	$3,676.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,085.06 / $2,085.06 / $3,940.76	Professional		$2,085.06	$2,085.06	$3,940.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,122.21	Facility		$640.00	$640.00	$2,122.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,735.56 / $2,255.73 / $4,156.35	Professional		$1,735.56	$2,255.73	$4,156.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,762.19 / $2,280.48 / $2,695.12	Professional		$1,762.19	$2,280.48	$2,695.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $2,378.86 / $3,543.43	Facility		$1,827.00	$2,378.86	$3,543.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,186.00 / $2,549.25 / $3,507.00	Professional		$2,186.00	$2,549.25	$3,507.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,715.70 / $2,249.65 / $4,301.07	Facility		$1,715.70	$2,249.65	$4,301.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,715.70 / $2,249.65 / $4,301.07	Professional		$1,715.70	$2,249.65	$4,301.07
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 $1,366.53 / $2,198.59 / $3,499.91	Professional		$1,366.53	$2,198.59	$3,499.91