Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $22,908.68 / $51,286.14	Facility		$3,890.45	$22,908.68	$51,286.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,659.59	Professional		$891.25	$1,096.48	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $44,668.36 / $47,863.01	Facility		$40,738.03	$44,668.36	$47,863.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,949.84	Professional		$1,000.00	$1,318.26	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $25,118.86	Professional		$1,122.02	$1,905.46	$25,118.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $28,183.83 / $43,651.58	Facility		$4,786.30	$28,183.83	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,454.71	Professional		$1,949.84	$2,187.76	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,778.28	Professional		$1,230.27	$1,621.81	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,995.26	Professional		$1,584.89	$1,698.24	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,187.76	Facility		$1,096.48	$1,659.59	$2,187.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $5,623.41	Facility		$1,071.52	$1,584.89	$5,623.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $7,413.10	Professional		$1,071.52	$1,584.89	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $6,165.95 / $45,708.82	Facility		$676.08	$6,165.95	$45,708.82
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,995.26 / $3,548.13	Professional		$870.96	$1,995.26	$3,548.13